Active NPI
Jonathan George Yousif
- Dentist
- Detroit, MI
National Provider Identifier
1386574028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901603003
- Practice address
- 22201 Moross Rd. Suite 155
Detroit, MI 48236 - Phone
- (313) 499-4775
- NPI assigned
- May 22, 2026
- 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 | 2901603003 | MI | Primary |
Addresses
Primary practice location
22201 Moross Rd. Suite 155
Detroit, MI 48236
Mailing address
22201 Moross Rd Ste 155
Detroit, MI 48236-2152
Phone (248) 469-3106
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260601001297 | MI | Order and Referring Only - Oral Surgery | 6204306202 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901603003 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1386574028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22201 MOROSS RD STE 155",
"city": "DETROIT",
"state": "MI",
"postal_code": "482362152",
"telephone_number": "248-469-3106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22201 MOROSS RD. SUITE 155",
"city": "DETROIT",
"state": "MI",
"postal_code": "48236",
"telephone_number": "313-499-4775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUSIF",
"first_name": "JONATHAN",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-22",
"last_updated": "2026-05-22",
"certification_date": "2026-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901603003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.