Individual provider Active NPI

Meshleen Albishara, DMD

  • Dentist
  • Lansing, MI
National Provider Identifier
1699469460
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901601843 Issued in MI
Practice address
5601 S Cedar St
Lansing, MI 48911-3810
Phone
(517) 882-0800
NPI assigned
Jun 5, 2023
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901601843 MI Primary

Addresses

Primary practice location

5601 S Cedar St
Lansing, MI 48911-3810

Mailing address

15109 Vino Rosa CT
Sterling Heights, MI 48312-4441
Phone (586) 553-1114

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

LicenseStateTypeSpecialty
2901601843MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Dental Mi 1 PC CurrentSince Sep 23, 2024 Accepting new patients

Locations

5601 S Cedar St
Lansing, MI 48911
Phone (517) 882-0800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1699469460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15109 VINO ROSA CT",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483124441",
            "telephone_number": "586-553-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 S CEDAR ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489113810",
            "telephone_number": "517-882-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBISHARA",
        "first_name": "MESHLEEN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, 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.

Verify at the official NPI Registry.