Active NPI
Rekha M Mahajan, DDS
- General Practice Dentistry
- Novi, MI
National Provider Identifier
1689869851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 15671
- Practice address
- 23965 Novi Rd
Suite 140
Novi, MI 48375-3231 - Phone
- (248) 380-0200
- NPI assigned
- Sep 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 15671 | MI | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X | MI |
Addresses
Primary practice location
23965 Novi Rd
Suite 140
Novi, MI 48375-3231
Mailing address
23965 Novi Rd
Suite 140
Novi, MI 48375-3231
Phone (248) 380-0200
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 |
|---|---|---|---|
| 15671 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mahajan Family Dentistry, PC | General Practice | Current | Accepting new patients |
Locations
23965 Novi Rd
Ste 140
Novi, MI 48375
Phone (248) 380-0200
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
- Novi, MI
- NPI 1679514046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614124800000",
"number": "1689869851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23965 NOVI RD",
"address_2": "SUITE 140",
"city": "NOVI",
"state": "MI",
"postal_code": "483753231",
"telephone_number": "248-380-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23965 NOVI RD",
"address_2": "SUITE 140",
"city": "NOVI",
"state": "MI",
"postal_code": "483753231",
"telephone_number": "248-380-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHAJAN",
"first_name": "REKHA",
"middle_name": "M",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-11",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "15671",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MI",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.