Active NPI
Carla Ismail
- Dentist
- Novi, MI
National Provider Identifier
1023421963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901021274
- Practice address
- 39555 W 10 Mile Rd
Novi, MI 48375-2950 - Phone
- (248) 442-7305
- NPI assigned
- Jun 9, 2014
- 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 | 2901021274 | MI | Primary |
Addresses
Primary practice location
39555 W 10 Mile Rd
Novi, MI 48375-2950
Mailing address
39555 W 10 Mile Rd
Novi, MI 48375-2950
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160112003266 | MI | Order and Referring Only - Oral Surgery | 5799087482 |
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": "1402272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425427200000",
"number": "1023421963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39555 W 10 MILE RD",
"city": "NOVI",
"state": "MI",
"postal_code": "483752950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39555 W 10 MILE RD",
"city": "NOVI",
"state": "MI",
"postal_code": "483752950",
"telephone_number": "248-442-7305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISMAIL",
"first_name": "CARLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-09",
"last_updated": "2015-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901021274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.