Active NPI
Dalia Gharib
- Dentist
- Dearborn, MI
National Provider Identifier
1952682379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901020496
- Practice address
- 14350 W. Warren Avenue
Dearborn, MI 48126 - Phone
- (313) 582-1919
- NPI assigned
- Aug 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2901020496 | MI | Primary |
Addresses
Primary practice location
14350 W. Warren Avenue
Dearborn, MI 48126
Mailing address
14350 W. Warren Avenue
Dearborn, MI 48126
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 |
|---|---|---|---|
| 2901020496 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1952682379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14350 W. WARREN AVENUE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "48126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14350 W. WARREN AVENUE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "48126",
"telephone_number": "313-582-1919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHARIB",
"first_name": "DALIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-30",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901020496",
"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 Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.