Individual provider Active NPI

Ramiz Abdulahad Kassir, DDS

  • Dentist
  • Shelby Township, MI
National Provider Identifier
1447066550
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
111057 Issued in CA
Practice address
46648 Hampton Dr
Shelby Township, MI 48315-5640
Phone
(586) 488-8228
NPI assigned
Dec 4, 2024
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 111057 CA Primary

Addresses

Primary practice location

46648 Hampton Dr
Shelby Township, MI 48315-5640

Mailing address

46648 Hampton Dr
Shelby Township, MI 48315-5640
Phone (586) 488-8228

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
111057CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1447066550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46648 HAMPTON DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483155640",
            "telephone_number": "586-488-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46648 HAMPTON DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483155640",
            "telephone_number": "586-488-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSIR",
        "first_name": "RAMIZ",
        "middle_name": "ABDULAHAD",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "111057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.