Organization Active NPI

Nahla Wadie DDS

  • Dentist
  • Farmington Hills, MI
National Provider Identifier
1891157053
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901016611 Issued in MI
Legal business name
NAHLA WADIE DDS
Doing business as
dental spot
Practice address
31487 Northwesteren Hwy
Farmington Hills, MI 48334
Phone
(248) 539-7781
Fax
(248) 539-7782
NPI assigned
Mar 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Authorized official

Name
Dr. Nahla Wadie, DDS
Title
Owner
Phone
(248) 539-7781

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 16611 MI
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 2901016611 MI Primary

Addresses

Primary practice location

31487 Northwesteren Hwy
Farmington Hills, MI 48334

Mailing address

31487 Northwestern Hwy
Farmington Hills, MI 48334-5415
Phone (248) 539-7781

Other identifiers 1

IdentifierTypeStateIssuer
1114024726MedicaidMI

Other names 1

  • dental spot Doing business as

National Provider Directory

National Provider Directory

Locations

31487 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 539-7781

NPI Registry JSON

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1891157053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31487 NORTHWESTERN HWY",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483345415",
            "telephone_number": "248-539-7781",
            "fax_number": "248-539-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31487 NORTHWESTEREN HWY",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "48334",
            "telephone_number": "248-539-7781",
            "fax_number": "248-539-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAHLA WADIE DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "WADIE",
        "authorized_official_first_name": "NAHLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-539-7781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "16611",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901016611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114024726",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dental spot",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 25, 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.

Verify at the official NPI Registry.