NISA GOSHTASBI (NPI# 1396238887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396238887 |
| Entity Type | Individual |
| Full Name | NISA GOSHTASBI |
| Credential | DDS |
| Practice Address |
50505 Schoenherr Rd Ste 170 Shelby Township MI 48315-3141 |
| Mailing Address |
2440 Parmenter Blvd Apt 201 Royal Oak MI 48073-1339 |
| Practice Telephone | 5868038300 |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901022665 | MI | Dental Providers |
| Street Address |
50505 SCHOENHERR RD STE 170 |
| City | SHELBY TOWNSHIP |
| State | MI |
| Zip Code | 48315-3141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885500 | Steven William Scavone | Counselor | 45660 Schonherr Rd., Shelby Township, MI 48315 | 2020-09-08 |
| 1861039844 | Lauren Nicole Himmel | Physician Assistant | 13051 Michael Dr., Shelby Twp., MI 48315 | 2019-12-09 |
| 1881173763 | Shelby Family Cosmetic & Restorative Dentistry | Dentist | 51221 Schoenherr Road., Suite 102, Shelby Township, MI 48315 | 2018-08-10 |
| 1023594223 | Apex Chiropractic, P.C. | Chiropractor | 51543 Schoenherr Road, Shelby Township, MI 48315 | 2018-07-11 |
| 1053809145 | Bam Management | Clinic/Center | 13433 Hall Road, Utica, MI 48315 | 2018-04-25 |
| 1659723203 | Patricia Gates | Registered Nurse | 23066 Balcombe, Utica, MI 48315 | 2016-07-07 |
| 1124481213 | Jai Shree Umiya Inc | Durable Medical Equipment & Medical Supplies | 13350 24 Mile Rd Ste 300, Shelby Township, MI 48315 | 2016-04-05 |
| 1679931828 | Team Rehabilitation S3, LLC | Physical Therapist | 13350 24 Mile Road, Suite 500, Shelby Township, MI 48315 | 2016-02-03 |
| 1164816484 | Sylvia White | Case Manager/Care Coordinator | 47100 Schoenherr Rd. Suite D, Shelby Township, MI 48315 | 2015-03-25 |
| 1770921389 | Amy Christine Vitale | Speech-Language Pathologist | 14145 Simone Dr., Developing Connections Inc, Shelby Twp, MI 48315 | 2013-06-06 |
| Find all providers in zip 48315 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620594 | Lifetime Dental Care of Michigan, P.C. | Dentist | 56060 Van Dyke Ave, Shelby Township, MI 48316-5143 | 2019-10-14 |
| 1346807187 | Arvin Labib Karana | Dentist | 54843 Northview Ct, Shelby Township, MI 48316-1341 | 2019-05-28 |
| 1578064481 | J.a. Penzien, P.C. | Dentist | 55191 Shelby Rd, Shelby Township, MI 48316-1150 | 2018-02-26 |
| 1477901668 | Kyle Junga | Dentist | 50202 Schoenherr Rd, Shelby Township, MI 48315-3134 | 2016-05-27 |
| 1083011233 | Pelton Glover Dental PC | Dentist | 13610 24 Mile Rd, Shelby Township, MI 48315-2400 | 2014-12-02 |
| 1467748541 | Brittany Ann Mckinley-holloway | Dentist | 45651 Village Blvd, Shelby Township, MI 48315-6068 | 2011-06-27 |
| 1649595232 | Eastside Family Dentistry | Dentist | 48926 Schoenherr Rd., Shelby Township, MI 48315 | 2010-04-07 |
| 1780800789 | Bryan Ted Solt | Dentist | 51772 Van Dyke Ave, Shelby Township, MI 48316-4450 | 2007-04-18 |
| 1710016670 | Michael Bentley Kayser | Dentist | 54826 Dequindre Rd, Shelby Township, MI 48316-5625 | 2007-03-05 |
| 1407990880 | Marvin M. Taragin | Dentist | 46890 Dequindre Rd, Shelby Township, MI 48317-3819 | 2007-02-18 |
| Find all providers in SHELBY TOWNSHIP | ||||
| City | SHELBY TOWNSHIP |
| Zip Code | 48315 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.