Shakib Elias Halabu, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901011201 Issued in MI

Practice address

7125 Orchard Lake Rd
Ste 310
West Bloomfield, MI 48322

Phone

(248) 855-1855

Fax

(248) 855-3824

NPI assigned

Sep 6, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437252467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 ORCHARD LAKE RD",
            "address_2": "STE 310",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "48322",
            "telephone_number": "248-855-1855",
            "fax_number": "248-855-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 ORCHARD LAKE RD",
            "address_2": "STE 310",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "48322",
            "telephone_number": "248-855-1855",
            "fax_number": "248-855-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALABU",
        "first_name": "SHAKIB",
        "middle_name": "ELIAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901011201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4537220",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Carl Hague, DO
• Fadi Munther Haio
• Ann Haitta, DDS
• Wael Hakmeh, D.O.
• Karmen Halabu, REGISTERED DIETITIAN
• Joshua Steven Hales, MD
• Connie Haley, PHD, LP
• Courtenay Monee' Hall, CRNA
• Hailee Hall
• Terry J Hall, LPN

• General Practice Dentistry in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.