Active NPI
Soha Shamas
- Dentist
- Southgate, MI
National Provider Identifier
1679065353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901022638
- Practice address
- 15312 Trenton Rd
Southgate, MI 48195 - Phone
- (734) 282-8600
- NPI assigned
- May 30, 2018
- Last updated
- May 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901022638 | MI | Primary |
Addresses
Primary practice location
15312 Trenton Rd
Southgate, MI 48195
Mailing address
7841 Amboy St
Dearborn Heights, MI 48127-1624
Phone (917) 853-6638
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2901022638 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soha Shamas DDS PC | Current | Accepting new patients |
Locations
23601 Ford Rd
Ste 2
Dearborn, MI 48128
Phone (313) 565-8544
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527638400000",
"number": "1679065353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7841 AMBOY ST",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481271624",
"telephone_number": "917-853-6638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15312 TRENTON RD",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "48195",
"telephone_number": "734-282-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMAS",
"first_name": "SOHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-30",
"last_updated": "2018-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901022638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southgate, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.