Individual provider Active NPI

Malik Hider, DDS

  • General Practice Dentistry
  • Garden City, MI
National Provider Identifier
1548325541
Registry record updated Oct 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901018884 Issued in MI
Practice address
29848 Ford Rd
Garden City, MI 48135-2365
Phone
(734) 522-2180
Fax
(734) 522-7443
NPI assigned
Dec 27, 2006
Last updated
Oct 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2010

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 2901018884 MI Primary

Addresses

Primary practice location

29848 Ford Rd
Garden City, MI 48135-2365

Mailing address

29848 Ford Rd
Garden City, MI 48135-2365
Phone (734) 522-2180

Other names 1

  • Dr. Malik Hider Former name

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
I20160901002237 MI Order and Referring Only - DentistPractitioner - Dentist 2365738226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901018884MIMDGeneral Practice Dentistry

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287792000000",
    "number": "1548325541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29848 FORD RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352365",
            "telephone_number": "734-522-2180",
            "fax_number": "734-522-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29848 FORD RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352365",
            "telephone_number": "734-522-2180",
            "fax_number": "734-522-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIDER",
        "first_name": "MALIK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2010-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALIK",
            "last_name": "HIDER",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Garden City, MI

Sources for this page

Verify at the official NPI Registry.