Individual provider Active NPI

Ali Mohamad

  • Dentist
  • Bloomfield Hills, MI
National Provider Identifier
1366359077
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901603146 Issued in MI
Practice address
4315 Copper Cliff CT
Bloomfield Hills, MI 48302-1923
Phone
(313) 329-8889
NPI assigned
Aug 26, 2026
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901603146 MI Primary

Addresses

Primary practice location

4315 Copper Cliff CT
Bloomfield Hills, MI 48302-1923

Mailing address

4315 Copper Cliff CT
Bloomfield Hills, MI 48302-1923
Phone (313) 329-8889

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

NPI Registry JSON

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1366359077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 COPPER CLIFF CT",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021923",
            "telephone_number": "313-329-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 COPPER CLIFF CT",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021923",
            "telephone_number": "313-329-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMAD",
        "first_name": "ALI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901603146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.