Active NPI
Samar Fahim Mikhail, DDS
- Dentist
- Muskegon, MI
National Provider Identifier
1730258245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901601624
- Practice address
- 285 W Western Ave Ste 102
Muskegon, MI 49440-1230 - Phone
- (231) 930-3151
- NPI assigned
- Nov 7, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 34091 | CA | |
| Dentist | 122300000X | 52385 | CA | |
| Dentist | 122300000X | 2901601624 | MI | Primary |
Addresses
Primary practice location
285 W Western Ave Ste 102
Muskegon, MI 49440-1230
Mailing address
15388 Oak Ridge Dr
Spring Lake, MI 49456-2190
Phone (949) 878-7219
Other names 1
- Samar Fahim Samuel
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 |
|---|---|---|---|
| 34091 | CA | MD | Chiropractor |
| 52385 | CA | MD | Dentist |
| 2901601624 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinity Dental Highpoint PLLC | Current | Accepting new patients | |
| NPI 1821505538 | Past | Accepting new patients |
Locations
285 W Western Ave
Ste 102
Muskegon, MI 49440
Phone (231) 930-3151
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.
-
- Dental Clinic/Center
- Muskegon, MI
- NPI 1396336855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693785600000",
"number": "1730258245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15388 OAK RIDGE DR",
"city": "SPRING LAKE",
"state": "MI",
"postal_code": "494562190",
"telephone_number": "949-878-7219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 W WESTERN AVE STE 102",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494401230",
"telephone_number": "231-930-3151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKHAIL",
"first_name": "SAMAR",
"middle_name": "FAHIM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2023-09-04",
"certification_date": "2023-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "34091",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "52385",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901601624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMAR",
"last_name": "SAMUEL",
"middle_name": "FAHIM",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.