Fawaz M Ahmed, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901018455 Issued in MI

Practice address

32905 W 12 Mile Rd Ste 420
Farmington Hills, MI 48334-3346

Phone

(248) 553-4740

Fax

(248) 553-0645

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292803200000",
    "number": "1609903806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3177 HEDGEWOOD LN",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483094510",
            "telephone_number": "248-553-4740",
            "fax_number": "248-553-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32905 W 12 MILE RD STE 420",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343346",
            "telephone_number": "248-553-4740",
            "fax_number": "248-553-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "FAWAZ",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2010-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4612512",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Awhad Ahmed
• Deena Ahmed
• Duaa Ahmed
• Fahima Ahmed
• Fatiya Ahmed
• Ghadeer Ahmed
• Ghayda Ahmed
• Hana Ahmed
• Haroon Ahmed, MD
• Hasenah Ahmed

• General Practice Dentistry in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.