Individual provider Active NPI

Rabia Ashfaq Kadwani, DDS

  • General Practice Dentistry
  • Ann Arbor, MI
National Provider Identifier
1003579145
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901601302 Issued in MI
Practice address
3060 Packard St Ste C
Ann Arbor, MI 48108-1944
Phone
(734) 307-8001
NPI assigned
Oct 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 37846 TX
General Practice Dentistry 1223G0001X 2901601302 MI Primary

Addresses

Primary practice location

3060 Packard St Ste C
Ann Arbor, MI 48108-1944

Mailing address

3060 Packard St Ste C
Ann Arbor, MI 48108-1944
Phone (734) 307-8001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901601302MIMDGeneral Practice Dentistry
37846TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Dentistry PLLC Current Accepting new patients
Bright Smiles Dental PC Current Accepting new patients
JDC Healthcare Management , PLLC Dentist PastSince Oct 1, 2021 Accepting new patients

Locations

3060 Packard St
Ste C
Ann Arbor, MI 48108
Phone (734) 307-8001

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1003579145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 PACKARD ST STE C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081944",
            "telephone_number": "734-307-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 PACKARD ST STE C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081944",
            "telephone_number": "734-307-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADWANI",
        "first_name": "RABIA",
        "middle_name": "ASHFAQ",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "37846",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901601302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.