Nermine Nader Shehata, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20767 Issued in MI

Practice address

573 W Vienna St
Clio, MI 48420-5000

Phone

(810) 686-5220

Fax

(810) 686-1620

NPI assigned

Apr 18, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Nermine Nader Bassily Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Racine & Ackley D.D.S., P.C.

  • Dental Clinic/Center
  • Clio, MI
  • NPI 1760851794
  NPD (past)

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1760749592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 W VIENNA ST",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484205000",
            "telephone_number": "810-686-5220",
            "fax_number": "810-686-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 W VIENNA ST",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484205000",
            "telephone_number": "810-686-5220",
            "fax_number": "810-686-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEHATA",
        "first_name": "NERMINE",
        "middle_name": "NADER",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "20767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NERMINE",
            "last_name": "BASSILY",
            "middle_name": "NADER",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacob Schumer, DPT
• Shelley J Schwartz, RPH
• Debora Jo Searyrissin
• Jason J Sefa, DC
• Serenity Assisted Living
• Shelby Foot & Ankle PLLC
• Jennifer Suzanne Shivnen, PA-C
• Lorraine A Shulman, MSW
• Silver Fern Therapy PLLC
• Abbie Lee Sims, FNP-C

• General Practice Dentistry in Clio, MI
• Providers in Clio, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.