Active NPI
Said Mustful
- Driver
- Dearborn, MI
National Provider Identifier
1851847255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- E0578G
- Practice address
- 24818 Michigan Ave
Dearborn, MI 48124-1713 - Phone
- (313) 887-5318
- Fax
- (313) 887-5336
- NPI assigned
- Aug 27, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Driver | 172A00000X | E0578G | MI | Primary |
Addresses
Primary practice location
24818 Michigan Ave
Dearborn, MI 48124-1713
Mailing address
PO Box 338
Dearborn, MI 48121-0338
Phone (313) 887-5318
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 |
|---|---|---|---|
| E0578G | MI | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472256000000",
"number": "1851847255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 338",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481210338",
"telephone_number": "313-887-5318",
"fax_number": "313-887-5336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24818 MICHIGAN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481241713",
"telephone_number": "313-887-5318",
"fax_number": "313-887-5336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSTFUL",
"first_name": "SAID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-27",
"last_updated": "2016-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "MI",
"license": "E0578G",
"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 Aug 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.