Individual provider Active NPI

Masa Alhawasli, DDS

  • General Practice Dentistry
  • Bloomfield Hills, MI
National Provider Identifier
1235979196
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901602145 Issued in MI
Practice address
1750 Tiverton Rd Unit 32
Bloomfield Hills, MI 48304-2368
Phone
(248) 843-3883
NPI assigned
May 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901602145 MI Primary

Addresses

Primary practice location

1750 Tiverton Rd Unit 32
Bloomfield Hills, MI 48304-2368

Mailing address

1750 Tiverton Rd Unit 32
Bloomfield Hills, MI 48304-2368
Phone (248) 843-3883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901602145MIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1235979196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 TIVERTON RD UNIT 32",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042368",
            "telephone_number": "248-843-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 TIVERTON RD UNIT 32",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042368",
            "telephone_number": "248-843-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALHAWASLI",
        "first_name": "MASA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901602145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.