Individual provider Active NPI

Musawir Yasin, DDS

  • General Practice Dentistry
  • Detroit, MI
National Provider Identifier
1578144770
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901602762 Issued in MI
Practice address
13874 Grand River Ave
Detroit, MI 48227-3123
Phone
(313) 834-4900
NPI assigned
Apr 19, 2021
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02901000 NJ
Student in an Organized Health Care Education/Training Program 390200000X 2901602762 MI
General Practice Dentistry 1223G0001X 2901602762 MI Primary

Addresses

Primary practice location

13874 Grand River Ave
Detroit, MI 48227-3123

Mailing address

2105 E Big Beaver Rd Apt 308
Troy, MI 48083-2598
Phone (732) 986-6399

Other practice location 1

15510 Livernois Ave
Detroit, MI 48238-1343
Phone (313) 863-2800

Other practice location 2

2700 Martin Luther King Jr Blvd
Detroit, MI 48208-2576
Phone (313) 494-6700

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

State licenses

LicenseStateTypeSpecialty
2901602762MIMDGeneral Practice Dentistry
22DI02901000NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1578144770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 E BIG BEAVER RD APT 308",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832598",
            "telephone_number": "732-986-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13874 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482273123",
            "telephone_number": "313-834-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15510 Livernois Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482381343",
            "country_code": "US",
            "telephone_number": "313-863-2800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482082576",
            "country_code": "US",
            "telephone_number": "313-494-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YASIN",
        "first_name": "MUSAWIR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-19",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02901000",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "2901602762",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901602762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.