Individual provider Active NPI

Shamiran Y. Golani, D.D.S.

  • General Practice Dentistry
  • Ferndale, MI
National Provider Identifier
1265443378
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901014601 Issued in MI
Practice address
22720 Woodward Ave
107
Ferndale, MI 48220-2920
Phone
(248) 548-1178
NPI assigned
Aug 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2901014601 MI Primary

Addresses

Primary practice location

22720 Woodward Ave
107
Ferndale, MI 48220-2920

Mailing address

PO Box 510244
Livonia, MI 48151-6244
Phone (248) 548-1178

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161012001487 MI Order and Referring Only - DentistPractitioner - Dentist 0345538013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Golani Dental Center CurrentSince Jul 31, 2022 Accepting new patients

Locations

22720 Woodward Ave
Apt 107
Ferndale, MI 48220
Phone (248) 548-1178

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265443378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510244",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481516244",
            "telephone_number": "248-548-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22720 WOODWARD AVE",
            "address_2": "107",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202920",
            "telephone_number": "248-548-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLANI",
        "first_name": "SHAMIRAN",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901014601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, MI

Sources for this page

Verify at the official NPI Registry.