Active NPI
Fadhela Salah
- Endodontics
- Dearborn, MI
National Provider Identifier
1821549759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 21172060620
- Practice address
- 23157 Michigan Ave
Dearborn, MI 48124-2020 - Phone
- (313) 561-9500
- NPI assigned
- Oct 14, 2016
- Last updated
- Dec 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 21172060620 | MI | Primary |
Addresses
Primary practice location
23157 Michigan Ave
Dearborn, MI 48124-2020
Mailing address
3349 Heritage Pkwy
Dearborn, MI 48124-3190
Phone (781) 332-2347
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21172060620 | MI | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1821549759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3349 HERITAGE PKWY",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481243190",
"telephone_number": "781-332-2347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23157 MICHIGAN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242020",
"telephone_number": "313-561-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAH",
"first_name": "FADHELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-14",
"last_updated": "2021-12-15",
"certification_date": "2021-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MI",
"license": "21172060620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.