Michigan Restorative Institute, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MICHIGAN RESTORATIVE INSTITUTE, PLLC

Doing business as

Smile Zone Dental

Practice address

7676 N Canton Center Rd
Canton, MI 48187-1500

Phone

(734) 354-9500

Fax

(734) 354-9502

NPI assigned

Mar 23, 2021

Last updated

Mar 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Schaaf

Title

Director of Operations

Phone

(269) 217-6442

Specialties & licenses 1

Addresses

Other names 1

• Smile Zone Dental Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Michigan Restorative Institute, PLLC

  dba New Era Dental

  • General Practice Dentistry
  • Fort Gratiot, MI
  • NPI 1871141093

  O20210526002716

  Same enrollment

Practitioners 2

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.

• Ahmed Eldib, B.D.S, DDS

  • Dentist
  • Portage, MI
  • NPI 1699117762
  NPD
• Ahmed Afify, DMD

  • Dentist
  • Southfield, MI
  • NPI 1346664802
  NPD (past)

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1508442195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7676 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871500",
            "telephone_number": "734-354-9500",
            "fax_number": "734-354-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7676 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871500",
            "telephone_number": "734-354-9500",
            "fax_number": "734-354-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN RESTORATIVE INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "SCHAAF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "269-217-6442"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Canton",
            "affiliation": "N",
            "address_1": "7676 N Canton Center Rd",
            "city": "Canton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481871500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Smile Zone Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michigan Hospitalists Associates PC
• Michigan Orthopaedic Specialists-Canton, PLLC
• Michigan Pain Physicians PC
• Michigan Rehabilitation Associates PLLC
• Michigan Rehabilitation Specialists of Fowlerville, LLC
• Michigan Urgent Care
• Michigan Wellness Associates PC (Medi-Weightloss)
• Michigan Women's Care, PLLC
• Midwestern Dental of Canton
• Mark Mika

• Dentist in Canton, MI
• Providers in Canton, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.