Individual provider Active NPI

Samer M Shoukfeh

  • General Practice Dentistry
  • Canton, MI
National Provider Identifier
1619006509
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901018470 Issued in MI
Practice address
42448 Cherry Hill Rd Ste 100
Canton, MI 48187-3693
Phone
(248) 761-5821
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901018470 MI Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

42448 Cherry Hill Rd Ste 100
Canton, MI 48187-3693

Mailing address

42448 Cherry Hill Rd Ste 100
Canton, MI 48187-3693
Phone (248) 761-5821

Other identifiers 3

IdentifierTypeStateIssuer
2901018470OtherMISTATE LICENSE
4689868-12MedicaidMI
4805018-12MedicaidMI

Other names 1

  • Dr. Samer Shoukfeh Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160104000815 MI Order and Referring Only - DentistPractitioner - Dentist 4486956760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901018470MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Associates at Cherry Hill PC CurrentSince Jan 26, 2022 Accepting new patients
Samer Shoukfeh, D.D.S. PC General Practice Past Accepting new patients

Locations

42448 Cherry Hill Rd
Ste 100
Canton, MI 48187
Phone (248) 761-5821

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1619006509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42448 CHERRY HILL RD STE 100",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873693",
            "telephone_number": "248-761-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42448 CHERRY HILL RD STE 100",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873693",
            "telephone_number": "248-761-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOUKFEH",
        "first_name": "SAMER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018470",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2901018470",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4689868-12",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4805018-12",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMER",
            "last_name": "SHOUKFEH",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.