Individual provider Active NPI

Sepehr Dehbashi, DDS

  • Dentist
  • Auburn Hills, MI
National Provider Identifier
1821723719
Registry record updated Jul 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901601433 Issued in MI
Practice address
3231 South Blvd
Auburn Hills, MI 48326-3635
Phone
(248) 260-2927
NPI assigned
Jul 24, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901601433 MI Primary

Addresses

Primary practice location

3231 South Blvd
Auburn Hills, MI 48326-3635

Mailing address

177 Wilshire Dr Apt 210
Troy, MI 48084-1752
Phone (248) 225-4143

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
2901601433MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1658620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658620800000",
    "number": "1821723719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 WILSHIRE DR APT 210",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841752",
            "telephone_number": "248-225-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 SOUTH BLVD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483263635",
            "telephone_number": "248-260-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHBASHI",
        "first_name": "SEPEHR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-24",
        "last_updated": "2022-07-24",
        "certification_date": "2022-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2022; 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.