Individual provider Active NPI

Sahel Behbood

  • General Practice Dentistry
  • Otisville, MI
National Provider Identifier
1578295457
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901601385 Issued in MI
Practice address
380 N State Rd
Otisville, MI 48463-9486
Phone
(810) 631-4524
NPI assigned
Jun 28, 2022
Last updated
Jun 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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 2901601385 MI Primary

Addresses

Primary practice location

380 N State Rd
Otisville, MI 48463-9486

Mailing address

380 N State Rd
Otisville, MI 48463-9486
Phone (810) 631-4524

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
2901601385MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
G & J Dental PC General Practice CurrentSince Jul 13, 2025 Accepting new patients
Great Lakes Family Dental Group - Otisville, P.C. General Practice PastSince Jul 3, 2022 Accepting new patients

Locations

380 N State Rd
Otisville, MI 48463
Phone (810) 631-4524

Organizations & group practices 2

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": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1578295457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 N STATE RD",
            "city": "OTISVILLE",
            "state": "MI",
            "postal_code": "484639486",
            "telephone_number": "810-631-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 N STATE RD",
            "city": "OTISVILLE",
            "state": "MI",
            "postal_code": "484639486",
            "telephone_number": "810-631-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHBOOD",
        "first_name": "SAHEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901601385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Otisville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.