Individual provider Active NPI

Rahul R. Amin, DDS

  • General Practice Dentistry
  • Brooklyn, MI
National Provider Identifier
1497850986
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901018416 Issued in MI
Practice address
418 N Main St
Brooklyn, MI 49230-8977
Phone
(517) 592-8422
Fax
(517) 592-8424
NPI assigned
Sep 13, 2006
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901018416 MI Primary

Addresses

Primary practice location

418 N Main St
Brooklyn, MI 49230-8977

Mailing address

418 N Main St
Brooklyn, MI 49230-8977
Phone (517) 592-8422

Other identifiers 1

IdentifierTypeStateIssuer
1245417542OtherTYPE 2 NPI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160927001899 MI Order and Referring Only - DentistPractitioner - Dentist 8123315694

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Schmitt and Amin DDS PC General Practice CurrentSince Aug 8, 2021 Accepting new patients

Locations

418 N Main St
Brooklyn, MI 49230
Phone (517) 592-8422

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1497850986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 N MAIN ST",
            "city": "BROOKLYN",
            "state": "MI",
            "postal_code": "492308977",
            "telephone_number": "517-592-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 N MAIN ST",
            "city": "BROOKLYN",
            "state": "MI",
            "postal_code": "492308977",
            "telephone_number": "517-592-8422",
            "fax_number": "517-592-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "RAHUL",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 NPI",
            "identifier": "1245417542",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, MI

Sources for this page

Verify at the official NPI Registry.