NPIMap

Organization Active NPI

Dr. Abdul Mohammed DDS PLLC

  • Dental Clinic/Center
  • Novi, MI
National Provider Identifier
1285226605
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DR. ABDUL MOHAMMED DDS PLLC
Doing business as
Novi Reconstructive Dentistry
Practice address
42260 Grand River Ave
Novi, MI 48375-1836
Phone
(248) 349-7900
NPI assigned
Feb 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Authorized official

Name
Dr. Abdul Ghani Fahd Mohammed, DDSNPI 1144770652
Title
President
Phone
(248) 795-8071

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

42260 Grand River Ave
Novi, MI 48375-1836

Mailing address

42260 Grand River Ave
Novi, MI 48375-1836
Phone (248) 349-7900

Other names 1

  • Novi Reconstructive Dentistry Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Novi Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1285226605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42260 GRAND RIVER AVE",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751836",
            "telephone_number": "248-349-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42260 GRAND RIVER AVE",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751836",
            "telephone_number": "248-349-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ABDUL MOHAMMED DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "ABDUL GHANI FAHD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-795-8071",
        "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": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Novi",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "42260 Grand River Ave",
            "city": "Novi",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483751836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Novi Reconstructive Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.

Verify at the official NPI Registry.