Organization Active NPI

Majestic Dentist PLLC

  • General Practice Dentistry
  • Livonia, MI
National Provider Identifier
1972975837
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17271 Issued in MI
Legal business name
MAJESTIC DENTIST PLLC
Practice address
19254 Newburgh Rd
Livonia, MI 48152-1027
Phone
(734) 425-1610
Fax
(734) 425-1335
NPI assigned
Oct 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Authorized official

Name
Adul Latif Hashwi, D.D.S.
Title
Owner
Phone
(734) 425-1610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 17271 MI Primary

Addresses

Primary practice location

19254 Newburgh Rd
Livonia, MI 48152-1027

Mailing address

32788 Five Mile Rd
Livonia, MI 48154-6001
Phone (734) 425-1610

National Provider Directory

National Provider Directory

Locations

32788 5 Mile Rd
Livonia, MI 48154
Phone (734) 425-1610

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1972975837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32788 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481546001",
            "telephone_number": "734-425-1610",
            "fax_number": "734-425-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19254 NEWBURGH RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521027",
            "telephone_number": "734-425-1610",
            "fax_number": "734-425-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC DENTIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "HASHWI",
        "authorized_official_first_name": "ADUL LATIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-425-1610",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "17271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.