Active NPI
Basel Shbib
- Dentist
- Sterling Heights, MI
National Provider Identifier
1285483461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901602147
- Practice address
- 13750 19 Mile Rd
Sterling Heights, MI 48313-2702 - Phone
- (586) 229-1916
- NPI assigned
- May 18, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 2901602147 | MI | Primary |
Addresses
Primary practice location
13750 19 Mile Rd
Sterling Heights, MI 48313-2702
Mailing address
31 W Mahan Ave
Hazel Park, MI 48030-1152
Phone (407) 766-6477
Other practice location 1
31 W Mahan Ave
Hazel Park, MI 48030-1152
Phone (407) 766-6477
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 |
|---|---|---|---|
| 2901602147 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1285483461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 W MAHAN AVE",
"city": "HAZEL PARK",
"state": "MI",
"postal_code": "480301152",
"telephone_number": "407-766-6477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13750 19 MILE RD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483132702",
"telephone_number": "586-229-1916"
}
],
"practiceLocations": [
{
"address_1": "31 W Mahan Ave",
"address_purpose": "LOCATION",
"city": "Hazel Park",
"state": "MI",
"postal_code": "480301152",
"country_code": "US",
"telephone_number": "407-766-6477",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHBIB",
"first_name": "BASEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-18",
"last_updated": "2024-05-28",
"certification_date": "2024-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901602147",
"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 May 28, 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.