Individual provider Active NPI

Mohimen Hayder Mahbuba, DMD

  • Dentist
  • Westland, MI
National Provider Identifier
1780573527
Registry record updated Jun 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901602672 Issued in MI
Practice address
820 N Wayne Rd
Westland, MI 48185-3632
Phone
(734) 728-5600
NPI assigned
Jun 28, 2025
Last updated
Jun 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 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 2901602672 MI Primary

Addresses

Primary practice location

820 N Wayne Rd
Westland, MI 48185-3632

Mailing address

1507 Whitefield St
Dearborn Heights, MI 48127-3465

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
2901602672MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce a Smoler DDS PLLC Dentist CurrentSince Jun 29, 2025 Accepting new patients
Pro Tooth Mechanics DMD PLLC PastSince Jun 29, 2025 Accepting new patients
Bruce a Smoler DDS PLLC Dentist PastSince Jun 29, 2025 Accepting new patients

Locations

820 N Wayne Rd
Westland, MI 48185
Phone (734) 728-5600

Organizations & group practices 3

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": "1751068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751068800000",
    "number": "1780573527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 WHITEFIELD ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481853632",
            "telephone_number": "734-728-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHBUBA",
        "first_name": "MOHIMEN",
        "middle_name": "HAYDER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-28",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901602672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; 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.