Active NPI
Samer M Shoukfeh
- General Practice Dentistry
- Canton, MI
National Provider Identifier
1619006509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901018470
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2901018470 | Other | MI | STATE LICENSE |
| 4689868-12 | Medicaid | MI | |
| 4805018-12 | Medicaid | MI |
Other names 1
- Dr. Samer Shoukfeh
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160104000815 | MI | Order and Referring Only - Dentist | 4486956760 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901018470 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Associates at Cherry Hill PC | Current | 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.
-
- Dental Clinic/Center
- Canton, MI
- NPI 1457002917
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.