Fady Shounia, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901021206 Issued in MI

Practice address

1018 Joslyn Ave
Pontiac, MI 48340-2929

Phone

(248) 333-7831

NPI assigned

Aug 14, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Metropolitan Dental Center of Pontiac PC

  • Dentist
  • Pontiac, MI
  • NPI 1003982224
  NPD (past)

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1497154546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 CENTERBROOK CT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223818",
            "telephone_number": "248-417-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 JOSLYN AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483402929",
            "telephone_number": "248-333-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOUNIA",
        "first_name": "FADY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Satvik Ashok Shetty, M.D
• Faris Shlash, MD
• Kathryn Marie Shoop, LLPC
• Renee V Shorter
• Shoulders, LLC
• Jordan Mark Shulman
• David Shumaker, FNP-C
• Lara Katherine Shwayhat, PA-C
• Nazia Siddiqui, MD
• Amreetpal Singh Sidhu, M.D.

• General Practice Dentistry in Pontiac, MI
• Providers in Pontiac, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.