Active NPI
Masri Clinic for Laser & Cosmetic
- Otolaryngology Physician
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 4301052487
- Legal business name
- MASRI CLINIC FOR LASER & COSMETIC
- Practice address
- 13530 Michigan Avenue
Suite 150
Dearborn, MI 48126 - Phone
- (313) 945-9800
- Fax
- (313) 945-9184
- NPI assigned
- Aug 17, 2006
- Last updated
- Feb 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Haitham Masri, MD
- Title
- Director
- Phone
- (313) 945-9800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 4301052487 | MI | Primary |
Addresses
Primary practice location
13530 Michigan Avenue
Suite 150
Dearborn, MI 48126
Mailing address
13530 Michigan Avenue
Suite 150
Dearborn, MI 48126
Phone (313) 945-9800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HM052487 | Other | MI | LICENSE |
National Provider Directory
National Provider Directory- Tax ID family
- Masri Clinic for Laser Cosmetic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Physician
- Dearborn, MI
- NPI 1487855391
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Dearborn, MI
- NPI 1629247481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202774400000",
"number": "1639282163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13530 MICHIGAN AVENUE",
"address_2": "SUITE 150",
"city": "DEARBORN",
"state": "MI",
"postal_code": "48126",
"telephone_number": "313-945-9800",
"fax_number": "313-945-9184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13530 MICHIGAN AVENUE",
"address_2": "SUITE 150",
"city": "DEARBORN",
"state": "MI",
"postal_code": "48126",
"telephone_number": "313-945-9800",
"fax_number": "313-945-9184"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MASRI CLINIC FOR LASER & COSMETIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-17",
"last_updated": "2008-02-12",
"status": "A",
"authorized_official_last_name": "MASRI",
"authorized_official_first_name": "HAITHAM",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "313-945-9800",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "MI",
"license": "4301052487",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "HM052487",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.