NPIMap

Organization Active NPI

Roman Sadikoff PLLC

  • Dentist
  • Chesterfield, MI
National Provider Identifier
1093185910
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17371 Issued in MI
Legal business name
ROMAN SADIKOFF PLLC
Practice address
50475 Gratiot Ave Ste 4
Chesterfield, MI 48051-3128
Phone
(586) 949-5363
Fax
(586) 343-5366
NPI assigned
Oct 5, 2015
Last updated
Oct 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Dr. Roman Sadikoff, D.D.S.NPI 1245260447
Title
Owner
Phone
(586) 949-5363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 17371 MI Primary

Addresses

Primary practice location

50475 Gratiot Ave Ste 4
Chesterfield, MI 48051-3128

Mailing address

50475 Gratiot Ave
Suite 4
Chesterfield, MI 48051-3128
Phone (586) 949-5363

National Provider Directory

National Provider Directory

Locations

50475 Gratiot Ave
Ste 4
Chesterfield, MI 48051
Phone (586) 949-5363

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1093185910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50475 GRATIOT AVE",
            "address_2": "SUITE 4",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480513128",
            "telephone_number": "586-949-5363",
            "fax_number": "586-343-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50475 GRATIOT AVE STE 4",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480513128",
            "telephone_number": "586-949-5363",
            "fax_number": "586-343-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMAN SADIKOFF PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "SADIKOFF",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-949-5363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "17371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.