Individual provider Active NPI

Karim Ghishan, BDS

  • Periodontics
  • East Lansing, MI
National Provider Identifier
1619883733
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2901603259 Issued in MI
Practice address
335 W Lake Lansing Rd Ste 100
East Lansing, MI 48823-8486
Phone
(517) 336-9880
NPI assigned
Aug 19, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 2901603259 MI Primary

Addresses

Primary practice location

335 W Lake Lansing Rd Ste 100
East Lansing, MI 48823-8486

Mailing address

1200 Broadway St Apt 508
Ann Arbor, MI 48105-2985
Phone (319) 981-1526

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hagan Rodriguez Periodontics & Implants Periodontics Past Accepting new patients

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": "1787097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1619883733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BROADWAY ST APT 508",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052985",
            "telephone_number": "319-981-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 W LAKE LANSING RD STE 100",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238486",
            "telephone_number": "517-336-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHISHAN",
        "first_name": "KARIM",
        "credential": "BDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901603259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.