Individual provider Active NPI

Mohammed Ali Makled, DDS

  • General Practice Dentistry
  • Westland, MI
National Provider Identifier
1578301263
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901602288 Issued in MI
Practice address
36700 Ford Rd
Westland, MI 48185-3770
Phone
(313) 590-3440
NPI assigned
Jul 17, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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 2901602288 MI Primary

Addresses

Primary practice location

36700 Ford Rd
Westland, MI 48185-3770

Mailing address

1225 Beechmont St
Dearborn, MI 48124-1516
Phone (313) 590-3440

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
2901602288MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Parkwest Dental General Practice CurrentSince Jul 21, 2024 Accepting new patients

Locations

36700 Ford Rd
Westland, MI 48185
Phone (313) 590-3440

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1578301263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 BEECHMONT ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241516",
            "telephone_number": "313-590-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36700 FORD RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481853770",
            "telephone_number": "313-590-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKLED",
        "first_name": "MOHAMMED",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901602288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.