Active NPI
Shalom Reuben, DDS
- General Practice Dentistry
- Lansing, MI
National Provider Identifier
1740988252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901602394
- Practice address
- 900 E Cavanaugh Rd
Lansing, MI 48910-5624 - Phone
- (517) 394-4040
- NPI assigned
- Feb 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901602394 | MI | Primary |
Addresses
Primary practice location
900 E Cavanaugh Rd
Lansing, MI 48910-5624
Mailing address
1639 Red Willow Dr
Holt, MI 48842-1769
Phone (330) 515-0479
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 |
|---|---|---|---|
| 2901602394 | MI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1740988252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1639 RED WILLOW DR",
"city": "HOLT",
"state": "MI",
"postal_code": "488421769",
"telephone_number": "330-515-0479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E CAVANAUGH RD",
"city": "LANSING",
"state": "MI",
"postal_code": "489105624",
"telephone_number": "517-394-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REUBEN",
"first_name": "SHALOM",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-23",
"last_updated": "2024-10-25",
"certification_date": "2024-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901602394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lansing, MI
- Erin Rempher
- Renal Care Group Lansing, LLC (Fresenius Medical Care Lansing Central)
- Elizabeth Renton, LMSW
- Residential Options, Inc.
- Elizabeth Alexandria Rethmeyer
- Allison Landis Revels, LMSW
- Reverence Home Health & Hospice, LLC (Ascension at Home)
- John Kennedy Revis, DDS
- Revival Health Home Care LLC
- Rafael J Reyes, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.