Individual provider Active NPI

Hiba Abbas Alsafi

  • Pediatric Dentistry
  • Troy, MI
National Provider Identifier
1265962518
Registry record updated Feb 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2901022282 Issued in MI
Practice address
2240 Livernois Rd
Troy, MI 48083-1664
Phone
(248) 528-0500
NPI assigned
Jun 19, 2017
Last updated
Feb 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 2901022282 MI Primary

Addresses

Primary practice location

2240 Livernois Rd
Troy, MI 48083-1664

Mailing address

6090 Atkins Dr
Troy, MI 48085-1327
Phone (352) 871-6579

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
I20190711003601 MI Order and Referring Only - DentistPractitioner - Dentist 0648505784

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901022282MIMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Dental Associates P.C. Past Accepting new patients
Children's Dental Specialists PLLC Pediatric Dentistry PastSince Jan 28, 2024 Accepting new patients

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, 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": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708128000000",
    "number": "1265962518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6090 ATKINS DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851327",
            "telephone_number": "352-871-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 LIVERNOIS RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831664",
            "telephone_number": "248-528-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSAFI",
        "first_name": "HIBA",
        "middle_name": "ABBAS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2024-02-17",
        "certification_date": "2024-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "2901022282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.