Active NPI
Reem Riadh Israel, DDS
- Dentist
- Berkley, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901600551
- Practice address
- 2645 Coolidge Hwy
Berkley, MI 48072-1554 - Phone
- (248) 541-5510
- NPI assigned
- Jul 17, 2020
- Last updated
- Aug 12, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2901600551 | MI | Primary |
Addresses
Primary practice location
2645 Coolidge Hwy
Berkley, MI 48072-1554
Mailing address
27312 Hampden St
Madison Heights, MI 48071-3114
Phone (248) 631-9841
Other practice location 1
20630 Vernier Rd
Harper Woods, MI 48225-1415
Phone (313) 884-0040
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 |
|---|---|---|---|
| 2901600551 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TK Investment Harper Woods | Current | Accepting new patients | |
| Berkley Family Dental PLLC | Current | Accepting new patients | |
| Berkley Dental PC | Current | Accepting new patients | |
| Waterford Family Dental PLLC | Past | Accepting new patients |
Locations
2645 Coolidge Hwy
Berkley, MI 48072
Phone (248) 541-5510
20630 Vernier Rd
Harper Woods, MI 48225
Phone (313) 884-0040
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Berkley, MI
- NPI 1689283509
-
dba Berkley Family Dental
- Dental Clinic/Center
- Berkley, MI
- NPI 1316555733
-
dba Waterford Family Dental
- Dental Clinic/Center
- Waterford, MI
- NPI 1306454723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1952919631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27312 HAMPDEN ST",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480713114",
"telephone_number": "248-631-9841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2645 COOLIDGE HWY",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480721554",
"telephone_number": "248-541-5510"
}
],
"practiceLocations": [
{
"address_1": "20630 Vernier Rd",
"address_purpose": "LOCATION",
"city": "Harper Woods",
"state": "MI",
"postal_code": "482251415",
"country_code": "US",
"telephone_number": "313-884-0040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISRAEL",
"first_name": "REEM",
"middle_name": "RIADH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-17",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901600551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkley, MI
- Robert Igwe, M.D.
- Jillian M Imami, APRN
- Independent Medical Networks, Inc.
- Innovative Hearing Services, Inc.
- Invoke Therapy and Wellness (Invoke Physical Therapy)
- Jaana Ashtiani OD P.L.L.C (Mitten Mobile Eyecare)
- Joylene-Alena Mary Jabboori, RN
- Kenneth Jackson, PA-C
- Lauren Betty Jacob, MA, TLLP
- Ahmad Jaradat
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.