Waleed M Kais, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901019456 Issued in MI

Practice address

151 State St
Bangor, ME 04401-5319

Phone

(207) 945-6036

NPI assigned

Mar 27, 2007

Last updated

Jan 31, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• W.M. Kais, DDS PLC

  • Dental Clinic/Center
  • Bay City, MI
  • NPI 1366049009
  NPD Authorized official

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1417075235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 CENTER AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086109",
            "telephone_number": "989-892-7062",
            "fax_number": "989-892-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015319",
            "telephone_number": "207-945-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAIS",
        "first_name": "WALEED",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "3835",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanvir Kahlon, DO
• Andrew R Kahn, PSYD
• Jetty Marie Kai
• Libby M. Kain, LCPC-C
• Junia Salvador Kairys, PA-C
• John Kaiser, M.D.
• Hannah Jasmine Kaleebi, MD
• Mahmoud Hamdy Ibrahim Kamel, MD
• Arthur Gilbert Kane, M.D.
• Rima Kanhoush, M.D.

• General Practice Dentistry in Bangor, ME
• Providers in Bangor, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.

Verify at the official NPI Registry.