Individual provider Active NPI

Halil Ibrahim Canter, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Southfield, MI
National Provider Identifier
1518184175
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
4301088801 Issued in MI
Practice address
16001 West 9 Mile Rd.
3 FL Fischer Ctr Providence Hosp. Craniofacial Inst.
Southfield, MI 48075
Phone
(248) 849-5800
Fax
(248) 849-5881
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 4301088801 MI Primary

Addresses

Primary practice location

16001 West 9 Mile Rd.
3 FL Fischer Ctr Providence Hosp. Craniofacial Inst.
Southfield, MI 48075

Mailing address

28830 Franklin River Dr
Apt #304
Southfield, MI 48034-5489
Phone (248) 722-0620

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301088801MIMDPlastic and Reconstructive Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518184175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28830 FRANKLIN RIVER DR",
            "address_2": "APT #304",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480345489",
            "telephone_number": "248-722-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16001 WEST 9 MILE RD.",
            "address_2": "3 FL FISCHER CTR PROVIDENCE HOSP. CRANIOFACIAL INST.",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-849-5800",
            "fax_number": "248-849-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTER",
        "first_name": "HALIL",
        "middle_name": "IBRAHIM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MI",
            "license": "4301088801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.