Active NPI
Mohamad Charara, D.M.D.
- Dentist
- Garden City, MI
National Provider Identifier
1689025801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901022341
- Practice address
- 29848 Ford Rd
Garden City, MI 48135-2365 - Phone
- (734) 522-2180
- NPI assigned
- Jun 29, 2016
- Last updated
- Jun 28, 2023
- Sex
- Male
- 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 | 2901022341 | MI | Primary |
Addresses
Primary practice location
29848 Ford Rd
Garden City, MI 48135-2365
Mailing address
29848 Ford Rd
Garden City, MI 48135-2365
Phone (734) 522-2180
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 |
|---|---|---|---|
| 2901022341 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1689025801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29848 FORD RD",
"city": "GARDEN CITY",
"state": "MI",
"postal_code": "481352365",
"telephone_number": "734-522-2180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29848 FORD RD",
"city": "GARDEN CITY",
"state": "MI",
"postal_code": "481352365",
"telephone_number": "734-522-2180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARARA",
"first_name": "MOHAMAD",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-29",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901022341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.