Active NPI
Irshad Rahaman, DDS
- Dentist
- Farmington Hills, MI
National Provider Identifier
1881894954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019-021575
- Practice address
- 25882 Orchard Lake Rd
Suite 105
Farmington Hills, MI 48336-1292 - Phone
- (248) 442-6600
- Fax
- (888) 330-4331
- NPI assigned
- Jul 18, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 019-021575 | IL | Primary |
Addresses
Primary practice location
25882 Orchard Lake Rd
Suite 105
Farmington Hills, MI 48336-1292
Mailing address
3924 N Southport Ave
1-N
Chicago, IL 60613-2654
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 |
|---|---|---|---|
| 019-021575 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184716800000",
"number": "1881894954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3924 N SOUTHPORT AVE",
"address_2": "1-N",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606132654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25882 ORCHARD LAKE RD",
"address_2": "SUITE 105",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483361292",
"telephone_number": "248-442-6600",
"fax_number": "888-330-4331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHAMAN",
"first_name": "IRSHAD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-18",
"last_updated": "2007-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019-021575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.