Active NPI
Suhail Mati
- General Practice Dentistry
- Mayfield HTS, OH
National Provider Identifier
1972675312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901018720
- Practice address
- 5875 Landerbrook Dr Ste 250
Mayfield HTS, OH 44124-6502 - Phone
- (800) 487-4867
- Fax
- (216) 593-7533
- NPI assigned
- Nov 14, 2006
- 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 | 2901018720 | MI | Primary |
Addresses
Primary practice location
5875 Landerbrook Dr Ste 250
Mayfield HTS, OH 44124-6502
Mailing address
31350 Telegraph Rd
Ste 101
Bingham Farms, MI 48025-4366
Phone (248) 594-9592
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150507002425 | MI | Order and Referring Only - Dentist | 9830418102 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901018720 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Dentistry Center | General Practice | Past | Accepting new patients |
| Rainbow Dental DDS,PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Bingham Farms, MI
- NPI 1063660348
-
- Public Health Dentistry
- Bingham Farms, MI
- NPI 1356467708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455580800000",
"number": "1972675312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31350 TELEGRAPH RD",
"address_2": "STE 101",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480254366",
"telephone_number": "248-594-9592",
"fax_number": "248-594-9647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5875 LANDERBROOK DR STE 250",
"city": "MAYFIELD HTS",
"state": "OH",
"postal_code": "441246502",
"telephone_number": "800-487-4867",
"fax_number": "216-593-7533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATI",
"first_name": "SUHAIL",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2016-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901018720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayfield HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.