Active NPI
Omar Zaki
- Dentist
- Allen Park, MI
National Provider Identifier
1013579549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901600244
- Practice address
- 6760 Allen Rd Ste 101
Allen Park, MI 48101-2062 - Phone
- (313) 928-2500
- NPI assigned
- Jul 4, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901600244 | MI | Primary |
Addresses
Primary practice location
6760 Allen Rd Ste 101
Allen Park, MI 48101-2062
Mailing address
15844 Woodland Dr
Dearborn, MI 48120-1114
Phone (810) 394-8063
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2901600244 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562198400000",
"number": "1013579549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15844 WOODLAND DR",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481201114",
"telephone_number": "810-394-8063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6760 ALLEN RD STE 101",
"city": "ALLEN PARK",
"state": "MI",
"postal_code": "481012062",
"telephone_number": "313-928-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAKI",
"first_name": "OMAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-04",
"last_updated": "2019-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901600244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allen Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.