Individual provider Active NPI

Shukran Babkir

  • Dentist
  • Ann Arbor, MI
National Provider Identifier
1982305330
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901602489 Issued in MI
Practice address
1301 Catherine St
Ann Arbor, MI 48109-2026
Phone
(734) 936-3568
NPI assigned
Mar 13, 2023
Reactivated
Aug 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901602489 MI Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1301 Catherine St
Ann Arbor, MI 48109-2026

Mailing address

1301 Catherine St
Ann Arbor, MI 48109-2026
Phone (734) 936-3568

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250904002639 MI Order and Referring Only - DentistPractitioner - Dentist 5395247886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1982305330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CATHERINE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481092026",
            "telephone_number": "734-936-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CATHERINE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481092026",
            "telephone_number": "734-936-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABKIR",
        "first_name": "SHUKRAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "deactivation_date": "2025-07-08",
        "reactivation_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901602489",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.