Individual provider Active NPI

Verena Atef Farouk, DDS

  • Dentist
  • Shelby Township, MI
National Provider Identifier
1790605475
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901603077 Issued in MI
Practice address
49668 Sandra Dr
Shelby Township, MI 48315-3537
Phone
(586) 354-6333
NPI assigned
Jul 21, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901603077 MI Primary

Addresses

Primary practice location

49668 Sandra Dr
Shelby Township, MI 48315-3537

Mailing address

49668 Sandra Dr
Shelby Township, MI 48315-3537
Phone (586) 354-6333

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

NPI Registry JSON

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1790605475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49668 SANDRA DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153537",
            "telephone_number": "586-354-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49668 SANDRA DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153537",
            "telephone_number": "586-354-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAROUK",
        "first_name": "VERENA",
        "middle_name": "ATEF",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901603077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.