Individual provider Active NPI

Angela M Rassam, D.D.S.

  • Dentist
  • Commerce TWP, MI
National Provider Identifier
1669624177
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19883 Issued in MI
Practice address
9600 Commerce Rd
Commerce TWP, MI 48382-4111
Phone
(248) 363-7121
Fax
(248) 363-7263
NPI assigned
Oct 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19883 MI Primary

Addresses

Primary practice location

9600 Commerce Rd
Commerce TWP, MI 48382-4111

Mailing address

9600 Commerce Rd
Commerce TWP, MI 48382-4111
Phone (248) 363-7121

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

State licenses

LicenseStateTypeSpecialty
19883MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dream Dental Group PLLC CurrentSince Feb 13, 2022 Accepting new patients

Locations

9600 Commerce Rd
Commerce Twp, MI 48382
Phone (248) 363-7121

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": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1669624177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 COMMERCE RD",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483824111",
            "telephone_number": "248-363-7121",
            "fax_number": "248-363-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 COMMERCE RD",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483824111",
            "telephone_number": "248-363-7121",
            "fax_number": "248-363-7263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASSAM",
        "first_name": "ANGELA",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "19883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.