Individual provider Active NPI

Raouf Alsebei

  • Dentist
  • Burton, MI
National Provider Identifier
1760222137
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901602845 Issued in MI
Practice address
2414 S Center Rd Ste 1
Burton, MI 48519-1152
Phone
(810) 744-3388
NPI assigned
May 31, 2024
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901602845 MI Primary

Addresses

Primary practice location

2414 S Center Rd Ste 1
Burton, MI 48519-1152

Mailing address

1567 Yarmouth Point Dr
Chesterfield, MO 63017-5651
Phone (314) 201-6851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20241009003536 MO Order and Referring Only - DentistPractitioner - Dentist 0446781827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901602845MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Dental Alliance of Burton, PLLC CurrentSince Nov 30, 2025 Accepting new patients
Alex Sharifian DDS Water Tower Dental Group PC PastSince Jun 2, 2024 Accepting new patients

Locations

2414 S Center Rd
Ste 1
Burton, MI 48519
Phone (810) 744-3388

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": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1760222137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1567 YARMOUTH POINT DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175651",
            "telephone_number": "314-201-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 S CENTER RD STE 1",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191152",
            "telephone_number": "810-744-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSEBEI",
        "first_name": "RAOUF",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-31",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901602845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burton, MI

Sources for this page

Verify at the official NPI Registry.