Individual provider Active NPI

Julie M Atoui, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Canton, MI
National Provider Identifier
1316016140
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2901017666 Issued in MI
Practice address
1325 N Canton Center Rd
Canton, MI 48187-2950
Phone
(734) 455-0095
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901017666 MI
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2901017666 MI Primary

Addresses

Primary practice location

1325 N Canton Center Rd
Canton, MI 48187-2950

Mailing address

1325 N Canton Center Rd
Canton, MI 48187-2950
Phone (734) 455-0095

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220128000563 MI Practitioner - Oral SurgeryPractitioner - Sleep MedicinePractitioner - Dentist 1254588304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oral and Maxillofacial Surgery Associates of Michigan, P.C. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1316016140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872950",
            "telephone_number": "734-455-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872950",
            "telephone_number": "734-455-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATOUI",
        "first_name": "JULIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901017666",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901017666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.