NPIMap

Organization Active NPI

Saline Family Dentistry

  • Dentist
  • Saline, MI
National Provider Identifier
1891895355
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D155840 Issued in MI
Legal business name
SALINE FAMILY DENTISTRY
Doing business as
Dearborn Dental Clinic
Practice address
1235 Industrial Suite 2
Saline, MI 48176
Phone
(734) 429-1323
Fax
(734) 429-1332
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Wafiq PN Belbeisi, DDSNPI 1538376173
Title
President Dentist
Phone
(734) 429-1323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D155840 MI Primary

Addresses

Primary practice location

1235 Industrial Suite 2
Saline, MI 48176

Mailing address

1235 Industrial Suite 2
Saline, MI 48176
Phone (734) 429-1323

Other identifiers 3

IdentifierTypeStateIssuer
01536648OtherUNITED CONCORDIA
D801146OtherMIBCBS
2660815MedicaidMI

Other names 1

  • Dearborn Dental Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1235 Industrial Dr
Ste 2
Saline, MI 48176
Phone (734) 429-1323

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891895355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 INDUSTRIAL SUITE 2",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "48176",
            "telephone_number": "734-429-1323",
            "fax_number": "734-429-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 INDUSTRIAL SUITE 2",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "48176",
            "telephone_number": "734-429-1323",
            "fax_number": "734-429-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALINE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BELBEISI",
        "authorized_official_first_name": "WAFIQ",
        "authorized_official_middle_name": "PN",
        "authorized_official_title_or_position": "PRESIDENT DENTIST",
        "authorized_official_telephone_number": "734-429-1323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "D155840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "01536648",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "D801146",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2660815",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dearborn Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saline, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.