Kulbir Jassal, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901021261 Issued in MI

Practice address

1755 W Big Beaver Rd
Troy, MI 48084-3510

Phone

(248) 643-7530

NPI assigned

Jun 12, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Glowing Smiles Dental PLLC

  • Dental Clinic/Center
  • Troy, MI
  • NPI 1578176574
  NPD Authorized official
• Smiles Dental Center, P.C.

  • General Practice Dentistry
  • Redford, MI
  • NPI 1588077457
  NPD (past)

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1902210503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4094 LEDGESTONE DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480984318",
            "telephone_number": "248-633-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 W BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843510",
            "telephone_number": "248-643-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASSAL",
        "first_name": "KULBIR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janineh Plastic Surgery PC
• Beatrice Janka, CPO
• Justin Jaraczewski
• Rafi Jarjous, DPM
• Kristie Joy Burch Jaroszewski, MD
• Stanislaw Jaszczak, M.D.
• Teresa Jaszczak, M.D.
• Jay H Sandberg DO PC
• Jayanti Mishra, PLLC
• Jehan Jazrawi, R.PH.

• General Practice Dentistry in Troy, MI
• Providers in Troy, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.