Basam Shamo, D.D.S.
NPI 1376981530ActiveIndividual· Dentist, Pediatric Dentistry· Southfield, MI
Dentist, Pediatric Dentistry (D.D.S.) in Southfield, Michigan, licensed in MI, with an NPI issued in June 2013. Enrolled in Medicare as order and referring only - dentist and order and referring only - oral surgery.
Overview
| NPI | 1376981530 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S. |
| Sole proprietor | No |
| NPI issued | Jun 10, 2013 |
| Last updated in NPPES | Jun 8, 2023 |
| Certified by provider | Jun 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 2901020972 | MI |
| Dentist | 122300000X | 2901020972 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Dentist (MI); Order and Referring Only - Oral Surgery (MI) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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