NPIMap

Organization Active NPI

Shirin Fakhri D.D.S. P.C.

  • General Practice Dentistry
  • Troy, MI
National Provider Identifier
1467999664
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901017930 Issued in MI
Legal business name
SHIRIN FAKHRI D.D.S. P.C.
Practice address
2885 E Long Lake Rd
Troy, MI 48085-4100
Phone
(248) 879-4565
Fax
(248) 879-4515
NPI assigned
Jan 25, 2017
Last updated
Jan 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Authorized official

Name
Dr. Shirin FakhriNPI 1033207899
Title
Dentist
Phone
(248) 879-4565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2901017930 MI Primary

Addresses

Primary practice location

2885 E Long Lake Rd
Troy, MI 48085-4100

Mailing address

2885 E Long Lake Rd
Troy, MI 48085-4100
Phone (248) 879-4565

National Provider Directory

National Provider Directory

Locations

2885 E Long Lake Rd
Troy, MI 48085
Phone (248) 879-4565

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1467999664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 E LONG LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480854100",
            "telephone_number": "248-879-4565",
            "fax_number": "248-879-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2885 E LONG LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480854100",
            "telephone_number": "248-879-4565",
            "fax_number": "248-879-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRIN FAKHRI D.D.S. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "FAKHRI",
        "authorized_official_first_name": "SHIRIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "248-879-4565",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

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