Louis A Shaheen, D.D.S., PLC

Primary specialty

DentistTaxonomy code 122300000X

License

014184 Issued in MI

Practice address

G9171 North Saginaw St.
Mt. Morris, MI 48458

Phone

(810) 687-3010

Fax

(810) 687-1228

NPI assigned

Sep 19, 2013

Last updated

Sep 19, 2013By 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

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

State licenses

Practice roles

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.

• Louis a Shaheen DDS PLC

  • Dental Clinic/Center
  • Mount Morris, MI
  • NPI 1609823327
  NPD (past) Authorized official

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1437585627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G9171 NORTH SAGINAW ST.",
            "address_2": "P.O. BOX 247",
            "city": "MT. MORRIS",
            "state": "MI",
            "postal_code": "48458",
            "telephone_number": "810-687-3010",
            "fax_number": "810-687-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G9171 NORTH SAGINAW ST.",
            "city": "MT. MORRIS",
            "state": "MI",
            "postal_code": "48458",
            "telephone_number": "810-687-3010",
            "fax_number": "810-687-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHEEN",
        "first_name": "LOUIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S., PLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "014184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerri Scott
• Kari Lynn Secord, PHARMACY TECHNITION
• Serenity Quality Home Care LLC
• Serenity Quality Services LLC
• Shreenath Shah, PHARM D
• Maya Shantikumar
• Martin Skokan
• Artie Smith
• Tiea Smith
• Nikita Lashae Smtih

• Dentist in Mount Morris, MI
• Providers in Mount Morris, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.