Individual provider Active NPI

Noor Yousif, DDS

  • General Practice Dentistry
  • North Branch, MI
National Provider Identifier
1285125641
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901022609 Issued in MI
Practice address
3720 Huron St
North Branch, MI 48461-8152
Phone
(586) 552-0845
NPI assigned
May 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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 2901022609 MI Primary

Addresses

Primary practice location

3720 Huron St
North Branch, MI 48461-8152

Mailing address

3720 Huron St
North Branch, MI 48461-8152
Phone (586) 552-0845

Other practice location 1

147 W Lincoln St
Caro, MI 48723-1548
Phone (586) 552-0845

Other practice location 2

11552 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-7500

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200623002940 MI Practitioner - Oral SurgeryPractitioner - General PracticePractitioner - Dentist 4385066216 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901022609MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
North Branch Dental Associates PC General Practice CurrentSince Nov 17, 2024 Accepting new patients

Locations

3720 Huron St
North Branch, MI 48461
Phone (810) 688-3008

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.

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1285125641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 HURON ST",
            "city": "NORTH BRANCH",
            "state": "MI",
            "postal_code": "484618152",
            "telephone_number": "586-552-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 HURON ST",
            "city": "NORTH BRANCH",
            "state": "MI",
            "postal_code": "484618152",
            "telephone_number": "586-552-0845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 W Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Caro",
            "state": "MI",
            "postal_code": "487231548",
            "country_code": "US",
            "telephone_number": "586-552-0845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11552 E 12 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "48093",
            "country_code": "US",
            "telephone_number": "586-573-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUSIF",
        "first_name": "NOOR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Branch, MI

Sources for this page

Verify at the official NPI Registry.