Individual provider Active NPI

Rita Bertha Sliman-Zouhrob, D.D.S.

  • General Practice Dentistry
  • Saint Clair Shores, MI
National Provider Identifier
1447347448
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14531 Issued in MI
Practice address
23995 Greater Mack Ave
Suite 200
Saint Clair Shores, MI 48080-1417
Phone
(586) 775-1040
Fax
(586) 775-9940
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 14531 MI Primary

Addresses

Primary practice location

23995 Greater Mack Ave
Suite 200
Saint Clair Shores, MI 48080-1417

Mailing address

23995 Greater Mack Ave
Suite 200
Saint Clair Shores, MI 48080-1417
Phone (586) 775-1040

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160412002007 MI Order and Referring Only - DentistPractitioner - Dentist 3678871415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14531MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
St Claire Shores Family Dental PLLC PastSince Mar 3, 2024 Accepting new patients
Clairpointe Family Dental General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447347448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23995 GREATER MACK AVE",
            "address_2": "SUITE 200",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801417",
            "telephone_number": "586-775-1040",
            "fax_number": "586-775-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23995 GREATER MACK AVE",
            "address_2": "SUITE 200",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801417",
            "telephone_number": "586-775-1040",
            "fax_number": "586-775-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLIMAN-ZOUHROB",
        "first_name": "RITA",
        "middle_name": "BERTHA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.