Organization Active NPI

Vineyards Dental & Implants PLLC

  • Dental Clinic/Center
  • Sterling Heights, MI
National Provider Identifier
1275377145
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
VINEYARDS DENTAL & IMPLANTS PLLC
Practice address
43060 Mound Rd
Sterling Heights, MI 48314-2018
Phone
(586) 879-3231
NPI assigned
Jun 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Dr. Rebwar Sameer Raheema, DDSNPI 1194109710
Title
Owner
Phone
(586) 879-3231

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

43060 Mound Rd
Sterling Heights, MI 48314-2018

Mailing address

4455 Vineyards Blvd
Sterling Heights, MI 48314-1842
Phone (586) 879-3231

National Provider Directory

National Provider Directory

Locations

43060 Mound Rd
Sterling Heights, MI 48314
Phone (586) 879-3231

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1275377145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 VINEYARDS BLVD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141842",
            "telephone_number": "586-879-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43060 MOUND RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483142018",
            "telephone_number": "586-879-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINEYARDS DENTAL & IMPLANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "RAHEEMA",
        "authorized_official_first_name": "REBWAR",
        "authorized_official_middle_name": "SAMEER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-879-3231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.