Active NPI
Tabitha Salam Naimi
- Dentist
- Brighton, MI
National Provider Identifier
1245816339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901601469
- Practice address
- 8127 Grand River Rd
Brighton, MI 48114-9375 - Phone
- (248) 685-7273
- NPI assigned
- Mar 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 2901601469 | MI | Primary |
| General Practice Dentistry | 1223G0001X | 2951000844 | MI |
Addresses
Primary practice location
8127 Grand River Rd
Brighton, MI 48114-9375
Mailing address
2496 Silverside Rd
Waterford, MI 48328-1782
Phone (248) 860-6863
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210722002341 | MI | Order and Referring Only - Dentist | 3173926573 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1245816339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2496 SILVERSIDE RD",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483281782",
"telephone_number": "248-860-6863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8127 GRAND RIVER RD",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481149375",
"telephone_number": "248-685-7273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAIMI",
"first_name": "TABITHA",
"middle_name": "SALAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-20",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901601469",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2951000844",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.