Individual provider Active NPI

Ban R Barbat, DDS

  • Dentist
  • Shelby Township, MI
National Provider Identifier
1295793206
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901016308 Issued in MI
Practice address
6044 24 Mile Rd
Shelby Township, MI 48316-3201
Phone
(586) 551-7255
Fax
(586) 739-3663
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901016308 MI Primary

Addresses

Primary practice location

6044 24 Mile Rd
Shelby Township, MI 48316-3201

Mailing address

6044 24 Mile Rd
Shelby Township, MI 48316-3201
Phone (586) 739-2155

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170524000405 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7911965918

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901016308MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ban R Barbat DDS Dentist CurrentSince Jun 29, 2025 Accepting new patients

Locations

6044 24 Mile Rd
Shelby Township, MI 48316
Phone (586) 551-7255

Organizations & group practices 1

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1295793206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6044 24 MILE RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483163201",
            "telephone_number": "586-739-2155",
            "fax_number": "586-739-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6044 24 MILE RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483163201",
            "telephone_number": "586-551-7255",
            "fax_number": "586-739-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBAT",
        "first_name": "BAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901016308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.