Individual provider Active NPI

Zainab Q Al-Kushaly, DDS

  • Dentist
  • Garden City, MI
National Provider Identifier
1467144402
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901601732 Issued in MI
Practice address
6755 Merriman Rd Ste 1
Garden City, MI 48135-1978
Phone
(734) 884-4333
NPI assigned
May 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901601732 MI Primary

Addresses

Primary practice location

6755 Merriman Rd Ste 1
Garden City, MI 48135-1978

Mailing address

326 Centralia St
Dearborn Heights, MI 48127-3740
Phone (248) 252-6011

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
2901601732MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1467144402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 CENTRALIA ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273740",
            "telephone_number": "248-252-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6755 MERRIMAN RD STE 1",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481351978",
            "telephone_number": "734-884-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-KUSHALY",
        "first_name": "ZAINAB",
        "middle_name": "Q",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.