NPI |
1811628134 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
Entity Type Code |
1 |
The middle name of the provider, if the provider
is an individual. |
Provider Last Name Legal Name |
ALATA |
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No |
Provider First Name |
HIBA |
The first name of the provider, if the provider
is an individual. |
Provider Name Prefix Text |
DR. |
The State code in the location of the provider
being identified. |
Provider Credential Text |
DDS |
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. |
Provider First Line Business Practice Location Address |
6035 EXECUTIVE DR STE 200 |
The country code in the location address of the provider being identified. |
Provider Business Practice Location Address City Name |
LANSING |
The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address State Name |
MI |
The fax number associated with the location
address of the provider being identified. |
Provider Business Practice Location Address Postal Code |
489115338 |
The first name of the provider, if the provider
is an individual. |
Provider Business Practice Location Address Country Code If outside U S |
US |
The country code in the location address of the provider being identified. |
Provider Business Practice Location Address Telephone Number |
3132894322 |
The code designating the provider’s gender if the provider is a person. |
Provider Enumeration Date |
6/17/2022 |
The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date |
6/17/2022 |
The date that a record was last updated or changed. |
Provider Gender Code |
F |
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number. |
Healthcare Provider Taxonomy Code 1 |
122300000X |
|
Provider License Number 1 |
2901601437 |
The license number issued to the provider being identified. The NPS can accommodate
multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’. |
Provider License Number State Code 1 |
MI |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
Healthcare Provider Primary Taxonomy Switch 1 |
Y |
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual
human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). |
Is Sole Proprietor |
N |
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No |
NPI Certification Date |
6/17/2022 |
|