Active NPI
Misha Shaikh, DDS
- Dentist
- Superior TWP, MI
National Provider Identifier
1285205229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.033293
- Practice address
- 3555 Northbrook Dr
Superior TWP, MI 48198-8700 - Phone
- (734) 341-7980
- NPI assigned
- Jul 9, 2021
- Last updated
- Jul 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.033293 | IL | Primary |
Addresses
Primary practice location
3555 Northbrook Dr
Superior TWP, MI 48198-8700
Mailing address
3555 Northbrook Dr
Superior TWP, MI 48198-8700
Phone (734) 341-7980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.033293 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625788800000",
"number": "1285205229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3555 NORTHBROOK DR",
"city": "SUPERIOR TWP",
"state": "MI",
"postal_code": "481988700",
"telephone_number": "734-341-7980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3555 NORTHBROOK DR",
"city": "SUPERIOR TWP",
"state": "MI",
"postal_code": "481988700",
"telephone_number": "734-341-7980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAIKH",
"first_name": "MISHA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-09",
"last_updated": "2021-07-09",
"certification_date": "2021-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.033293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Superior TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.