Maya Khreizat, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

2901601336 Issued in MI

Practice address

25147 W Warren St
Dearborn Heights, MI 48127-2198

Phone

(313) 277-3000

NPI assigned

Jan 24, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Salam Awad DDS PLLC

  • Dental Clinic/Center
  • Dearborn Heights, MI
  • NPI 1548763592
  NPD (past)

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1679289664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6464 REUTER ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262221",
            "telephone_number": "313-289-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25147 W WARREN ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272198",
            "telephone_number": "313-277-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25850 Eureka Rd",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "MI",
            "postal_code": "481804924",
            "country_code": "US",
            "telephone_number": "734-992-8688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Greenfield Rd",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481264124",
            "country_code": "US",
            "telephone_number": "313-582-2688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHREIZAT",
        "first_name": "MAYA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdallah Khashab, PHARMD
• Rima Khattab
• Khazaal Chiropractic Inc
• Radwan Khazaal, D.C.
• Ali Khcheiche, DDS
• Kid Kare Pediatrics, PC
• Kim Yu MD PC
• Jerry J Kirk, DDS
• Kirsch & Blau DDS PC
• Mariam Kobeissi

• Dentist in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.