Organization Active NPI

Faith Primary Care, PC

  • Clinic/Center
  • Westland, MI
National Provider Identifier
1821166737
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4301078766 Issued in MI
Legal business name
FAITH PRIMARY CARE, PC
Practice address
315 S Wayne Rd
Westland, MI 48186-4301
Phone
(734) 895-8396
Fax
(734) 895-8571
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Authorized official

Name
Dr. Mahir Matti, MD
Title
Physician
Phone
(313) 533-3720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4301078766 MI Primary

Addresses

Primary practice location

315 S Wayne Rd
Westland, MI 48186-4301

Mailing address

22341 West Eight Mile Road
Suite 121
Detroit, MI 48219
Phone (313) 533-3720

National Provider Directory

National Provider Directory

Locations

22341 W 8 Mile Rd
Ste 121
Detroit, MI 48219
Phone (313) 537-2953

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1821166737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22341 WEST EIGHT MILE ROAD",
            "address_2": "SUITE 121",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48219",
            "telephone_number": "313-533-3720",
            "fax_number": "313-533-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481864301",
            "telephone_number": "734-895-8396",
            "fax_number": "734-895-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH PRIMARY CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "MATTI",
        "authorized_official_first_name": "MAHIR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "313-533-3720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "4301078766",
            "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 Aug 22, 2019; 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.