Active NPI
Sara Tinawi, DDS
- Dentist
- Clinton TWP, MI
National Provider Identifier
1104494780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901600963
- Practice address
- 43587 Mallard LN
Clinton TWP, MI 48038-1177 - Phone
- (586) 344-4295
- NPI assigned
- Jun 11, 2021
- Sex
- Female
- 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 | 2901600963 | MI | Primary |
Addresses
Primary practice location
43587 Mallard LN
Clinton TWP, MI 48038-1177
Mailing address
43587 Mallard LN
Clinton TWP, MI 48038-1177
Phone (586) 344-4295
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 |
|---|---|---|---|
| 2901600963 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623369600000",
"number": "1104494780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43587 MALLARD LN",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480381177",
"telephone_number": "586-344-4295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43587 MALLARD LN",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480381177",
"telephone_number": "586-344-4295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINAWI",
"first_name": "SARA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-11",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901600963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.