Active NPI
Sera Sayegh
- Dentist
- Berkley, MI
National Provider Identifier
1013757319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901602040
- Practice address
- 3309 Thomas Ave
Berkley, MI 48072-3160 - Phone
- (519) 564-4664
- NPI assigned
- May 27, 2024
- Sex
- Female
- 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 | 2901602040 | MI | Primary |
Addresses
Primary practice location
3309 Thomas Ave
Berkley, MI 48072-3160
Mailing address
3309 Thomas Ave
Berkley, MI 48072-3160
Phone (519) 564-4664
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 |
|---|---|---|---|
| 2901602040 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716768000000",
"number": "1013757319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3309 THOMAS AVE",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480723160",
"telephone_number": "519-564-4664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3309 THOMAS AVE",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480723160",
"telephone_number": "519-564-4664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAYEGH",
"first_name": "SERA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-27",
"last_updated": "2024-05-27",
"certification_date": "2024-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901602040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkley, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.