Individual provider Active NPI

Sahar Fathi, DDS

  • Dentist
  • Lansing, MI
National Provider Identifier
1013437573
Registry record updated Jun 26, 2017
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901022301 Issued in MI
Practice address
6111 S Cedar St
Lansing, MI 48911-5714
Phone
(517) 393-3447
NPI assigned
Jun 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901022301 MI Primary

Addresses

Primary practice location

6111 S Cedar St
Lansing, MI 48911-5714

Mailing address

503 Beecroft Road
Apt #508
North York, ONTARIO M2N0A2
CA

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
I20170918003023 MI Order and Referring Only - DentistPractitioner - Dentist 2264706092

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": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498435200000",
    "number": "1013437573",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "503 BEECROFT ROAD",
            "address_2": "APT #508",
            "city": "NORTH YORK",
            "state": "ONTARIO",
            "postal_code": "M2N0A2"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 S CEDAR ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489115714",
            "telephone_number": "517-393-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATHI",
        "first_name": "SAHAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2017-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.