Active NPI
Adnan Khazaal DDS PC
- Dentist
- Dearborn, MI
National Provider Identifier
1891248209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- ADNAN KHAZAAL DDS PC
- Practice address
- 15031 Michigan Ave
Dearborn, MI 48126-3443 - Phone
- (313) 582-3600
- NPI assigned
- Aug 2, 2016
- Last updated
- Aug 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adnan A Khazaal, DDS
- Title
- Owner
- Phone
- (313) 582-3600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
15031 Michigan Ave
Dearborn, MI 48126-3443
Mailing address
15031 Michigan Ave
Dearborn, MI 48126-3443
National Provider Directory
National Provider DirectoryLocations
15031 Michigan Ave
Dearborn, MI 48126
Phone (313) 582-3600
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Dearborn, MI
- NPI 1932115490
-
- Dentist
- Dearborn, MI
- NPI 1548155674
-
- General Practice Dentistry
- Dearborn, MI
- NPI 1962071894
-
- General Practice Dentistry
- Livonia, MI
- NPI 1366933962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470096000000",
"number": "1891248209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15031 MICHIGAN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15031 MICHIGAN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263443",
"telephone_number": "313-582-3600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADNAN KHAZAAL DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-02",
"last_updated": "2016-08-02",
"status": "A",
"authorized_official_last_name": "KHAZAAL",
"authorized_official_first_name": "ADNAN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-582-3600",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"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 2, 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.