Individual provider Active NPI

Samar Fahim Mikhail, DDS

  • Dentist
  • Muskegon, MI
National Provider Identifier
1730258245
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901601624 Issued in MI
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

Updated by the provider on Sep 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
34091CAMDChiropractor
52385CAMDDentist
2901601624MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Dental Highpoint PLLC CurrentSince Sep 10, 2023 Accepting new patients
NPI 1821505538 PastSince Jan 20, 2018 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.

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.

Verify at the official NPI Registry.