Organization Active NPI

Shukairy Dentistry PC

  • General Practice Dentistry
  • Flushing, MI
National Provider Identifier
1659510717
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18404 Issued in MI
Legal business name
SHUKAIRY DENTISTRY PC
Practice address
323 W Main St
Flushing, MI 48433-2033
Phone
(810) 659-7800
Fax
(810) 659-8706
NPI assigned
Feb 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Authorized official

Name
Dr. Niman K Shukairy, DDS
Title
Owner
Phone
(810) 659-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 18404 MI Primary

Addresses

Primary practice location

323 W Main St
Flushing, MI 48433-2033

Mailing address

323 W Main St
Flushing, MI 48433-2033
Phone (810) 659-7800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1659510717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 W MAIN ST",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332033",
            "telephone_number": "810-659-7800",
            "fax_number": "810-659-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 W MAIN ST",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332033",
            "telephone_number": "810-659-7800",
            "fax_number": "810-659-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUKAIRY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "SHUKAIRY",
        "authorized_official_first_name": "NIMAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-659-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "18404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.