Active NPI
Andrew A Afshar, DDS, MD
- Oral & Maxillofacial Surgery (D.M.D.)
- Midland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 2901022525
- Practice address
- 6112 Merlin CT
Midland, MI 48640-7358 - Phone
- (989) 839-9979
- Fax
- (989) 839-9553
- NPI assigned
- Jun 14, 2006
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 1946 | ND | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 2901022525 | MI | Primary |
Addresses
Primary practice location
6112 Merlin CT
Midland, MI 48640-7358
Mailing address
6112 Merlin CT
Midland, MI 48640-7358
Phone (989) 839-9979
Other practice location 1
1140 W Capitol Ave
Bismarck, ND 58501-9956
Phone (701) 258-7220
Other practice location 2
31099 Chagrin Blvd Ste 100
Pepper Pike, OH 44124-5959
Phone (216) 450-5888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1946 | Other | ND | DENTAL LICENSE |
| 41322 | Medicaid | ND |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901022525 | MI | MD | Oral & Maxillofacial Surgery (D.M.D.) |
| 1946 | ND | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midland Oral & Maxillofacial Surgery P.C. | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Face & Jaw Surgeons, PC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Locations
6112 Merlin Ct
Midland, MI 48640
Phone (989) 839-5833
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Midland, MI
- NPI 1619964715
Oral and Maxillofacial Surgery
-
- Oral and Maxillofacial Surgery (Dentist)
- Dickinson, ND
- NPI 1730897026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1659314888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6112 MERLIN CT",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486407358",
"telephone_number": "989-839-9979",
"fax_number": "989-839-9553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6112 MERLIN CT",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486407358",
"telephone_number": "989-839-9979",
"fax_number": "989-839-9553"
}
],
"practiceLocations": [
{
"address_1": "1140 W CAPITOL AVE",
"address_purpose": "LOCATION",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585019956",
"country_code": "US",
"telephone_number": "701-258-7220",
"fax_number": "701-222-2329",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "31099 Chagrin Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Pepper Pike",
"state": "OH",
"postal_code": "441245959",
"country_code": "US",
"telephone_number": "216-450-5888",
"fax_number": "216-450-5505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AFSHAR",
"first_name": "ANDREW",
"middle_name": "A",
"credential": "DDS, MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2022-07-21",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "ND",
"license": "1946",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "MI",
"license": "2901022525",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "1946",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41322",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.