Organization Active NPI

Salam Awad DDS PLLC

  • Dental Clinic/Center
  • Dearborn Heights, MI
National Provider Identifier
1548763592
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2901021653 Issued in MI
Legal business name
SALAM AWAD DDS PLLC
Practice address
25147 W Warren St
Dearborn Heights, MI 48127-2198
Phone
(313) 277-3000
NPI assigned
Mar 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Dr. Salam AwadNPI 1285002618
Title
Dentist
Phone
(313) 277-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2901021653 MI Primary

Addresses

Primary practice location

25147 W Warren St
Dearborn Heights, MI 48127-2198

Mailing address

300 Berkley St
Dearborn, MI 48124-1304
Phone (313) 384-8061

Other identifiers 1

IdentifierTypeStateIssuer
1285002618MedicaidMI

National Provider Directory

National Provider Directory

Locations

25147 W Warren St
Dearborn Hts, MI 48127
Phone (313) 277-3000

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1548763592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BERKLEY ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241304",
            "telephone_number": "313-384-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25147 W WARREN ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272198",
            "telephone_number": "313-277-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALAM AWAD DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "AWAD",
        "authorized_official_first_name": "SALAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "313-277-3000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901021653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285002618",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.