Ahmed Eldib, B.D.S, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901021060 Issued in MI

Practice address

6714 S Westnedge Ave
Portage, MI 49002-3538

Phone

(800) 277-3633

NPI assigned

Jul 18, 2013

Last updated

Jul 18, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dr. Eldib, PLLC

  • General Practice Dentistry
  • Adrian, MI
  • NPI 1437549425
  Medicare reassignment NPD
• Michigan Restorative Institute, PLLC

  dba New Era Dental

  • General Practice Dentistry
  • Fort Gratiot, MI
  • NPI 1871141093
  Medicare reassignment NPD
• Michigan Restorative Institute, PLLC

  dba Smile Zone Dental

  • Dentist
  • Canton, MI
  • NPI 1508442195
  NPD

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1699117762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6714 S WESTNEDGE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490023538",
            "telephone_number": "800-277-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6714 S WESTNEDGE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490023538",
            "telephone_number": "800-277-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDIB",
        "first_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "B.D.S, DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN DENTAL BOARD",
            "identifier": "2901021060",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kloe Mae Edson
• Amanda Edwards, LPC
• Sara Ehlke-Bejcek, MD
• Robert C Einhardt, LPC
• Bahram Elami, M.D.
• Elemental Speech Therapy LLC
• Elements Chiropractic Clinic, PLC
• Diaa Aldin H Elfaki, M.D.
• Julie Elias, MD
• Elizabeth Upjohn Community Healing Center

• Dentist in Portage, MI
• Providers in Portage, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.