Individual provider Active NPI

Mark Harold Saidman, DDS

  • General Practice Dentistry
  • West Bloomfield, MI
National Provider Identifier
1447250782
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
08704 Issued in MI
Practice address
7499 Middlebelt Rd
Ste. 1
West Bloomfield, MI 48322-4136
Phone
(248) 626-8600
Fax
(248) 626-8602
NPI assigned
Jul 28, 2005
Last updated
Oct 19, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 08704 MI Primary

Addresses

Primary practice location

7499 Middlebelt Rd
Ste. 1
West Bloomfield, MI 48322-4136

Mailing address

7499 Middlebelt Rd
Ste.1
West Bloomfield, MI 48322-4136
Phone (248) 626-8600

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
08704MIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1447250782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7499 MIDDLEBELT RD",
            "address_2": "STE.1",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224136",
            "telephone_number": "248-626-8600",
            "fax_number": "248-626-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7499 MIDDLEBELT RD",
            "address_2": "STE. 1",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224136",
            "telephone_number": "248-626-8600",
            "fax_number": "248-626-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAIDMAN",
        "first_name": "MARK",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "08704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

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