NPIMap

Organization Active NPI

Pearl Dental Clinic

  • Dental Clinic/Center
  • Hamtramck, MI
National Provider Identifier
1396800058
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2901018920 Issued in MI
Legal business name
PEARL DENTAL CLINIC
Practice address
9811 Conant St
Suite#2
Hamtramck, MI 48212-3877
Phone
(313) 870-9423
NPI assigned
Dec 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ishaq Ghaleb Ali, DDSNPI 1154486819
Title
President
Phone
(313) 870-9423

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2901018920 MI Primary

Addresses

Primary practice location

9811 Conant St
Suite#2
Hamtramck, MI 48212-3877

Mailing address

9811 Conant St
Suite#2
Hamtramck, MI 48212-3877
Phone (313) 870-9423

National Provider Directory

National Provider Directory

Locations

9811 Conant St
Ste 2
Hamtramck, MI 48212
Phone (313) 870-9423

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396800058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 CONANT ST",
            "address_2": "SUITE#2",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123877",
            "telephone_number": "313-870-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 CONANT ST",
            "address_2": "SUITE#2",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123877",
            "telephone_number": "313-870-9423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "ISHAQ",
        "authorized_official_middle_name": "GHALEB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-870-9423",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901018920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamtramck, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.