Organization Active NPI

Icare Dental

  • Dentist
  • Dearborn, MI
National Provider Identifier
1518617612
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on Mar 24, 2022

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
Other URL icaredentaldearborn@gmail.com

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.