Lama Bandar, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901021834 Issued in MI

Practice address

2532 Monroe St
Dearborn, MI 48124-3014

Phone

(313) 563-9090

NPI assigned

Jun 1, 2016

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wayne County Treasurer-Payroll County of Wayne

  • Federally Qualified Health Center (FQHC)
  • Hamtramck, MI
  • NPI 1700215977

  MI

  Medicare reassignment
• Wayne County Treasurer Payroll-County of Wayne

  • Federally Qualified Health Center (FQHC)
  • Wayne, MI
  • NPI 1538543160
  NPD
• Personalized Dental Care PLLC

  • Dentist
  • Dearborn, MI
  • NPI 1093047326
  NPD (past)

Specialty

Dentist

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 1, 2016.

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1831547876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2532 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243014",
            "telephone_number": "313-563-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDAR",
        "first_name": "LAMA",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Elizabeth Baldwin
• Reena Mohamed Baleid
• Andrew Edward Ball
• Shaniya Nicole Ballestero
• Aisha Balol
• Vijaya Lakshmi Bandaru
• Rabia Bangash, M.D.
• Suhail M Banister, M.D.
• Lydia Banks
• Taylor Banks

• All providers in Dearborn, MI
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.