Active NPI
Ali A Shaaban, DDS
- Dentist
- Garden City, MI
National Provider Identifier
1306928643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901018367
- Practice address
- 1658 Middlebelt Rd
Garden City, MI 48135-2879 - Phone
- (734) 421-1181
- Fax
- (734) 421-4538
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- 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 | 2901018367 | MI | Primary |
Addresses
Primary practice location
1658 Middlebelt Rd
Garden City, MI 48135-2879
Mailing address
1658 Middlebelt Rd
Garden City, MI 48135-2879
Phone (734) 421-1181
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 |
|---|---|---|---|
| 2901018367 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298851200000",
"number": "1306928643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1658 MIDDLEBELT RD",
"city": "GARDEN CITY",
"state": "MI",
"postal_code": "481352879",
"telephone_number": "734-421-1181",
"fax_number": "734-421-4538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1658 MIDDLEBELT RD",
"city": "GARDEN CITY",
"state": "MI",
"postal_code": "481352879",
"telephone_number": "734-421-1181",
"fax_number": "734-421-4538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAABAN",
"first_name": "ALI",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2011-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901018367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.