Active NPI
Waleed Rhebi
- Periodontics
- Center Line, MI
National Provider Identifier
1447709662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 2901022099
- Practice address
- 25523 Van Dyke Ave
Center Line, MI 48015-1824 - Phone
- (586) 757-5454
- Fax
- (586) 757-4147
- NPI assigned
- Sep 29, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 2901022099 | MI | Primary |
Addresses
Primary practice location
25523 Van Dyke Ave
Center Line, MI 48015-1824
Mailing address
22330 Lawrence Ave
Dearborn, MI 48128-1468
Phone (267) 288-8984
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2901022099 | MI | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1447709662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22330 LAWRENCE AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481281468",
"telephone_number": "267-288-8984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25523 VAN DYKE AVE",
"city": "CENTER LINE",
"state": "MI",
"postal_code": "480151824",
"telephone_number": "586-757-5454",
"fax_number": "586-757-4147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHEBI",
"first_name": "WALEED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-29",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MI",
"license": "2901022099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Center Line, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.