Individual provider Active NPI

Adel A Magid, DDS

  • Dentist
  • Oxford, MI
National Provider Identifier
1700812195
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17379 Issued in MI
Practice address
837 S Lapeer Rd
#204
Oxford, MI 48371-5084
Phone
(248) 628-9707
Fax
(248) 628-9775
NPI assigned
Jun 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 17379 MI Primary

Addresses

Primary practice location

837 S Lapeer Rd
#204
Oxford, MI 48371-5084

Mailing address

837 S Lapeer Rd
#204
Oxford, MI 48371-5084
Phone (248) 628-9707

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150518002062 MI Order and Referring Only - DentistPractitioner - Dentist 0749500502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17379MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Adel Magid DDS,P.C. Current Accepting new patients
Adel Magid DDS,P.C. Current Accepting new patients

Organizations & group practices 2

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700812195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 S LAPEER RD",
            "address_2": "#204",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483715084",
            "telephone_number": "248-628-9707",
            "fax_number": "248-628-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 S LAPEER RD",
            "address_2": "#204",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483715084",
            "telephone_number": "248-628-9707",
            "fax_number": "248-628-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGID",
        "first_name": "ADEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "17379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MI

Sources for this page

Verify at the official NPI Registry.