Organization Active NPI

Chase Pediatrics

  • Primary Care Clinic/Center
  • Dearborn, MI
National Provider Identifier
1457503674
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CHASE PEDIATRICS
Practice address
14650 W Warren Ave Ste 300
Dearborn, MI 48126-1782
Phone
(313) 581-9446
Fax
(313) 581-9448
NPI assigned
Oct 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Dr. Adnan Ahmed Al-Dais, M.D
Title
Physician
Phone
(313) 581-9446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

14650 W Warren Ave Ste 300
Dearborn, MI 48126-1782

Mailing address

14650 W Warren Ave Ste 300
Dearborn, MI 48126-1782
Phone (313) 581-9446

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1457503674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14650 W WARREN AVE STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261782",
            "telephone_number": "313-581-9446",
            "fax_number": "313-581-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14650 W WARREN AVE STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261782",
            "telephone_number": "313-581-9446",
            "fax_number": "313-581-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHASE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "AL-DAIS",
        "authorized_official_first_name": "ADNAN",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "313-581-9446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "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 Oct 21, 2008; 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.