Individual provider Active NPI

Dan Mashni

  • Dentist
  • Birmingham, MI
National Provider Identifier
1417033341
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901018210 Issued in MI
Practice address
751 Chestnut St Ste 103
Birmingham, MI 48009-6463
Phone
(248) 647-1144
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901018210 MI Primary

Addresses

Primary practice location

751 Chestnut St Ste 103
Birmingham, MI 48009-6463

Mailing address

751 Chestnut St Ste 103
Birmingham, MI 48009-6463
Phone (248) 647-1144

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

LicenseStateTypeSpecialty
2901018210MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel D Mashni DDS CurrentSince Oct 30, 2022 Accepting new patients
Great Expressions Dental Centers P C Dentist Past Accepting new patients
Carolyn S Way DDS PC Dentist PastSince Jun 21, 2022 Accepting new patients

Locations

751 Chestnut St
Ste 103
Birmingham, MI 48009
Phone (248) 647-1144

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1417033341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 CHESTNUT ST STE 103",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096463",
            "telephone_number": "248-647-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 CHESTNUT ST STE 103",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096463",
            "telephone_number": "248-647-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASHNI",
        "first_name": "DAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.