Sana Mustafa Alsamarae, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901022276 Issued in MI

Practice address

1500 E. Medical Center Drive
Medinn Clinic C213,SPC 5831
Ann Arbor, MI 48109-5831

Phone

(734) 936-5950

NPI assigned

Jun 8, 2017

Last updated

Jun 8, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496880000000",
    "number": "1043749492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR SPC 5831",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E. MEDICAL CENTER DRIVE",
            "address_2": "MEDINN CLINIC C213,SPC 5831",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095831",
            "telephone_number": "734-936-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSAMARAE",
        "first_name": "SANA",
        "middle_name": "MUSTAFA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2017-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "2901022276",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dania Alsabeh
• Kari Alsager
• Haitham Alsahli, MD
• Deirdre Alsaidy, LMSW
• Mohamed Alsaidy
• Fares Alsawah, MD
• Mohammed Alsehli, MD
• Siraj Alseri, M.D.
• Yasir M Alshaikh Deeb, MD
• Raneem Alshihabi

• General Practice Dentistry in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; 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.

Verify at the official NPI Registry.