Active NPI
Gulafshan Pervez, D.D.S.
- General Practice Dentistry
- Ypsilanti, MI
National Provider Identifier
1679792253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901017199
- Practice address
- 3020 Packard Rd
Ypsilanti, MI 48197-2000 - Phone
- (734) 528-9132
- Fax
- (734) 528-9131
- NPI assigned
- Apr 24, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901017199 | MI | Primary |
Addresses
Primary practice location
3020 Packard Rd
Ypsilanti, MI 48197-2000
Mailing address
3020 Packard Rd
Ypsilanti, MI 48197-2000
Phone (734) 528-9132
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1695213 | Other | UNITED CONCORDIA | |
| 4419601 | Medicaid | MI |
Other names 1
- Dr. Gulafshan A Munshey
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 |
|---|---|---|---|
| 2901017199 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Smile Family Dentistry, P.C. | General Practice | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Ypsilanti, MI
- NPI 1376762856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679792253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 PACKARD RD",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481972000",
"telephone_number": "734-528-9132",
"fax_number": "734-528-9131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 PACKARD RD",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481972000",
"telephone_number": "734-528-9132",
"fax_number": "734-528-9131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERVEZ",
"first_name": "GULAFSHAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901017199",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1695213",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4419601",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GULAFSHAN",
"last_name": "MUNSHEY",
"middle_name": "A",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.