Active NPI
Mohamad Thabit Al-Maaz, DDS,MS
- Endodontics
- Detroit, MI
National Provider Identifier
1427668235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 2952000425
- Practice address
- 2700 Martin Luther King Blvd
Detroit Mercy Dental
Detroit, MI 48208 - Phone
- (313) 494-6780
- NPI assigned
- Aug 6, 2020
- Last updated
- Aug 6, 2020
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 2952000425 | MI | Primary |
Addresses
Primary practice location
2700 Martin Luther King Blvd
Detroit Mercy Dental
Detroit, MI 48208
Mailing address
1953 Northway Ave
Windsor, ONTARIO N9B 0A3
CA
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2952000425 | MI | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596672000000",
"number": "1427668235",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "1953 NORTHWAY AVE",
"city": "WINDSOR",
"state": "ONTARIO",
"postal_code": "N9B 0A3"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 MARTIN LUTHER KING BLVD",
"address_2": "DETROIT MERCY DENTAL",
"city": "DETROIT",
"state": "MI",
"postal_code": "48208",
"telephone_number": "313-494-6780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-MAAZ",
"first_name": "MOHAMAD THABIT",
"name_prefix": "Dr.",
"credential": "DDS,MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-06",
"last_updated": "2020-08-06",
"certification_date": "2020-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MI",
"license": "2952000425",
"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 Aug 6, 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.