Active NPI
Hesham Elewa
- Dentist
- Jackson, MI
National Provider Identifier
1043066210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901602319
- Practice address
- 1615 Carlton Blvd
Jackson, MI 49203-1444 - Phone
- (517) 787-6776
- NPI assigned
- Apr 27, 2024
- 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 | 2901602319 | MI | Primary |
Addresses
Primary practice location
1615 Carlton Blvd
Jackson, MI 49203-1444
Mailing address
37420 Emerald Forest Dr
Farmington Hills, MI 48331-1182
Phone (248) 408-9658
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 |
|---|---|---|---|
| 2901602319 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheets Family Dentistry PLLC | Current | Accepting new patients |
Locations
1615 Carlton Blvd
Jackson, MI 49203
Phone (517) 787-6776
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Jackson, MI
- NPI 1821601626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1043066210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37420 EMERALD FOREST DR",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483311182",
"telephone_number": "248-408-9658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 CARLTON BLVD",
"city": "JACKSON",
"state": "MI",
"postal_code": "492031444",
"telephone_number": "517-787-6776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELEWA",
"first_name": "HESHAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-27",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901602319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.