Organization Active NPI

Faddi Salim DDS PLLC

  • General Practice Dentistry
  • Shelby Township, MI
National Provider Identifier
1720663115
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FADDI SALIM DDS PLLC
Practice address
47059 Van Dyke Ave
Shelby Township, MI 48317-3357
Phone
(586) 990-6299
NPI assigned
Mar 17, 2021
Last updated
Mar 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Authorized official

Name
Dr. Faddi Salim, DDSNPI 1013398502
Title
Owner
Phone
(248) 219-7282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

47059 Van Dyke Ave
Shelby Township, MI 48317-3357

Mailing address

22180 Ivanhoe LN
Southfield, MI 48034-5111
Phone (248) 219-7282

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1720663115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22180 IVANHOE LN",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480345111",
            "telephone_number": "248-219-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47059 VAN DYKE AVE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483173357",
            "telephone_number": "586-990-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FADDI SALIM DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "SALIM",
        "authorized_official_first_name": "FADDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-219-7282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.