Active NPI
Mohd Majed Kachlan, DDS
- Dentist
- Flint, MI
National Provider Identifier
1255503470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901600211
- Practice address
- 1481 S Center Rd
Flint, MI 48509-1779 - Phone
- (810) 744-2982
- Fax
- (810) 744-2983
- NPI assigned
- Mar 27, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901600211 | MI | Primary |
Addresses
Primary practice location
1481 S Center Rd
Flint, MI 48509-1779
Mailing address
6455 W Cimarron TRL
Flint, MI 48532-2022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20160526002006 | NY | Order and Referring Only - Dentist | 8224328604 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901600211 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Dental Services of Michigan, PC | Current | Accepting new patients | |
| Associated Healthcare Systems, Inc | Past | Accepting new patients |
Locations
1481 S Center Rd
Flint, MI 48509
Phone (810) 373-2261
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Burton, MI
- NPI 1386352607
-
- Oxygen Equipment & Supplies (DME)
- Cheektowaga, NY
- NPI 1255305975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667260800000",
"number": "1255503470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6455 W CIMARRON TRL",
"city": "FLINT",
"state": "MI",
"postal_code": "485322022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1481 S CENTER RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485091779",
"telephone_number": "810-744-2982",
"fax_number": "810-744-2983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KACHLAN",
"first_name": "MOHD",
"middle_name": "MAJED",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-27",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901600211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.