Nader J Baydoun, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901019741 Issued in MI

Practice address

6950 Schaefer Rd Ste a
Dearborn, MI 48126-4503

Phone

(313) 584-3210

NPI assigned

Dec 18, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dearborn Dental Group West

  • Dental Clinic/Center
  • Dearborn, MI
  • NPI 1790349058
  NPD
• Dr Beydoun and Associates, Inc

  • General Practice Dentistry
  • Dearborn HTS, MI
  • NPI 1710081005
  NPD (past)
• Fardous Dental Services

  • General Practice Dentistry
  • Dearborn Heights, MI
  • NPI 1518755040
  NPD (past)

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1255577409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24510 FORD RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273110",
            "telephone_number": "313-561-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 SCHAEFER RD STE A",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264503",
            "telephone_number": "313-584-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYDOUN",
        "first_name": "NADER",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-18",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "50441",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019741",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1255577409",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fatima Baydoun
• Fatmeh Baydoun
• Hanadi Baydoun
• Kareem Baydoun
• Mona M Baydoun I, MA,LLPC
• Robia Ismail Baydoun
• Zeinab Baydoun
• Steven Paul Bayne, MA, LPC, CAADC
• Scott Victor Bazzani
• Bazzi Foot & Ankle D.P.M P.C

• Dentist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.