Shadi Alzahrani, BDS

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

2951000644 Issued in MI

Practice address

1500 E Medical Center Drive
Floor 1, Reception a, Room 1904
Ann Arbor, MI 48109-0312

Phone

(734) 615-6095

Fax

(734) 764-3485

NPI assigned

Nov 6, 2014

Last updated

Jun 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1235535089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 HOSPITAL DRIVE",
            "address_2": "G1218 TOWSLEY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DRIVE",
            "address_2": "FLOOR 1, RECEPTION A, ROOM 1904",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481090312",
            "telephone_number": "734-615-6095",
            "fax_number": "734-764-3485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "786-202-9877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALZAHRANI",
        "first_name": "SHADI",
        "credential": "BDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-06",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DRP1372",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "2951000644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Alvarez, LLMSW, MPH
• Rasheed Alwan
• Mazen Khaled Aly, BDS, DDS
• Daniel Michael Alyesh, MD
• Alyssa Selasky LMSW
• Jason Mallo Amador, CRNA
• Amanda and Company Counseling LLC
• Amanda Hallberg MD PLLC
• Nathan Matthew Amann, MD
• Noshir Yazdi Amaria, D.O.

• Student in an Organized Health Care Education/Training Program in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Student in an Organized Health Care Education/Training Program in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.