Active NPI
Yousif Mokhlis Brikho, DDS
- General Practice Dentistry
- Farmington Hills, MI
National Provider Identifier
1922677285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901601002
- Practice address
- 30330 W 12 Mile Rd
Farmington Hills, MI 48334-3821 - Phone
- (248) 702-6117
- NPI assigned
- Jun 22, 2021
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901601002 | MI | Primary |
Addresses
Primary practice location
30330 W 12 Mile Rd
Farmington Hills, MI 48334-3821
Mailing address
6431 Windemere LN
Shelby Township, MI 48316-5385
Phone (248) 224-7626
Other practice location 1
48709 Van Dyke Ave
Shelby Township, MI 48317-2562
Phone (586) 731-3000
Other names 1
- Yousif Mokhlis Abbo
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 |
|---|---|---|---|
| 2901601002 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fadi Assaf DDS V PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Shelby Township, MI
- NPI 1447762687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1922677285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6431 WINDEMERE LN",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483165385",
"telephone_number": "248-224-7626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30330 W 12 MILE RD",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483343821",
"telephone_number": "248-702-6117"
}
],
"practiceLocations": [
{
"address_1": "48709 Van Dyke Ave",
"address_purpose": "LOCATION",
"city": "Shelby Township",
"state": "MI",
"postal_code": "483172562",
"country_code": "US",
"telephone_number": "586-731-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRIKHO",
"first_name": "YOUSIF",
"middle_name": "MOKHLIS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-22",
"last_updated": "2021-06-22",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901601002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YOUSIF",
"last_name": "ABBO",
"middle_name": "MOKHLIS",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.