Individual provider Active NPI

Amir Al Hariri, DDS

  • General Practice Dentistry
  • Midland, MI
National Provider Identifier
1861378739
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901602806 Issued in MI
Practice address
1520 Joe Mann Blvd
Midland, MI 48642-8902
Phone
(989) 486-2040
NPI assigned
Aug 14, 2025
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901602806 MI Primary

Addresses

Primary practice location

1520 Joe Mann Blvd
Midland, MI 48642-8902

Mailing address

6313 Village Park Dr Apt 102
West Bloomfield, MI 48322-2153
Phone (248) 722-2475

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
2901602806MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Thlo PLLC General Practice CurrentSince Aug 17, 2025 Accepting new patients
Plev Mid PLC PastSince Aug 17, 2025 Accepting new patients

Locations

1520 Joe Mann Blvd
Midland, MI 48642
Phone (989) 486-2040

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1861378739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6313 VILLAGE PARK DR APT 102",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222153",
            "telephone_number": "248-722-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 JOE MANN BLVD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486428902",
            "telephone_number": "989-486-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL HARIRI",
        "first_name": "AMIR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901602806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.