Organization Active NPI

Razan Abbass DDS PC

  • Dentist
  • Dearborn, MI
National Provider Identifier
1447797311
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901016577 Issued in MI
Legal business name
RAZAN ABBASS DDS PC
Practice address
9925 Dix Ste 101
Dearborn, MI 48120-1593
Phone
(313) 841-5522
Fax
(313) 841-8170
NPI assigned
Jan 30, 2017
Last updated
Jan 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Dr. Razan Abbass, DDS
Title
Dr
Phone
(313) 841-5522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901016577 MI Primary

Addresses

Primary practice location

9925 Dix Ste 101
Dearborn, MI 48120-1593

Mailing address

9925 Dix Ste 101
Dearborn, MI 48120-1593
Phone (313) 841-5522

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1447797311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9925 DIX STE 101",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201593",
            "telephone_number": "313-841-5522",
            "fax_number": "313-841-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9925 DIX STE 101",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201593",
            "telephone_number": "313-841-5522",
            "fax_number": "313-841-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAZAN ABBASS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "ABBASS",
        "authorized_official_first_name": "RAZAN",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "313-841-5522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901016577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.