Ashtar Dentistry P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

2901018747 Issued in MI

Legal business name

ASHTAR DENTISTRY P.C.

Practice address

23528 John R. Rd.
Hazel Partk, MI 48030

Phone

(248) 629-7540

Fax

(248) 629-7541

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Basima Ykao-Daman, D.D.S.NPI 1639210693

Title

Dentist

Phone

(248) 629-7540

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Basima Ykao-Daman DDS Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Basima Ykao Ykao-Daman, D.D.S.

  • Dentist
  • Hazel Park, MI
  • NPI 1639210693
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1043320302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23528 JOHN R. RD.",
            "city": "HAZEL PARTK",
            "state": "MI",
            "postal_code": "48030",
            "telephone_number": "248-629-7540",
            "fax_number": "248-629-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23528 JOHN R. RD.",
            "city": "HAZEL PARTK",
            "state": "MI",
            "postal_code": "48030",
            "telephone_number": "248-629-7540",
            "fax_number": "248-629-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHTAR DENTISTRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "YKAO-DAMAN",
        "authorized_official_first_name": "BASIMA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "248-629-7540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4612414",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Basima Ykao-Daman DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.