Individual provider Active NPI

Amanda Akasheh, D.D.S.

  • Dentist
  • Ypsilanti, MI
National Provider Identifier
1063894558
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901021580 Issued in MI
Practice address
740 Emerick St
Ypsilanti, MI 48198-6340
Phone
(734) 482-8671
NPI assigned
Jun 22, 2015
Last updated
Apr 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901021580 MI Primary

Addresses

Primary practice location

740 Emerick St
Ypsilanti, MI 48198-6340

Mailing address

37696 Joanne Dr
Clinton Township, MI 48036-2137
Phone (586) 838-7188

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160617000938 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0244521417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901021580MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Akasheh DDS PLLC CurrentSince Apr 9, 2023 Accepting new patients

Locations

740 Emerick St
Ypsilanti, MI 48198
Phone (313) 485-1575

740 Emerick St
Ste 100
Ypsilanti, MI 48198

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1063894558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37696 JOANNE DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480362137",
            "telephone_number": "586-838-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 EMERICK ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481986340",
            "telephone_number": "734-482-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKASHEH",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.