Active NPI
Icare Dental
- Dentist
- Dearborn, MI
National Provider Identifier
1518617612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- ICARE DENTAL
- Practice address
- 7911 Wyoming St
Dearborn, MI 48126-1223 - Phone
- (313) 834-5000
- NPI assigned
- Mar 24, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yaser Shaheen
- Title
- Partner
- Phone
- (313) 918-5188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
7911 Wyoming St
Dearborn, MI 48126-1223
Mailing address
6148 Meadowview Dr
Canton, MI 48187-4750
Phone (313) 918-5188
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | icaredentaldearborn@gmail.com |
National Provider Directory
National Provider DirectoryLocations
7911 Wyoming St
Dearborn, MI 48126
Phone (313) 834-5000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648080000000",
"number": "1518617612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6148 MEADOWVIEW DR",
"city": "CANTON",
"state": "MI",
"postal_code": "481874750",
"telephone_number": "313-918-5188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7911 WYOMING ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481261223",
"telephone_number": "313-834-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ICARE DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-24",
"last_updated": "2022-03-24",
"certification_date": "2022-03-24",
"status": "A",
"authorized_official_last_name": "SHAHEEN",
"authorized_official_first_name": "YASER",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "313-918-5188"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "icaredentaldearborn@gmail.com",
"affiliation": "N",
"address_1": "7911 Wyoming St",
"city": "Dearborn",
"state": "MI",
"country_code": "US",
"postal_code": "481261223",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.