Individual provider Active NPI

Zarina Suleymonovna Akhmedova, DDS

  • Dentist
  • Lansing, MI
National Provider Identifier
1124718424
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901601849 Issued in MI
Practice address
5139 W Saginaw Hwy
Lansing, MI 48917-2635
Phone
(517) 318-2657
NPI assigned
May 10, 2023
Last updated
Aug 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901601849 MI Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

5139 W Saginaw Hwy
Lansing, MI 48917-2635

Mailing address

6181 Whitehills Lake Dr
East Lansing, MI 48823-9484
Phone (517) 763-6971

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

LicenseStateTypeSpecialty
2901601849MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1124718424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6181 WHITEHILLS LAKE DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488239484",
            "telephone_number": "517-763-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5139 W SAGINAW HWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172635",
            "telephone_number": "517-318-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKHMEDOVA",
        "first_name": "ZARINA",
        "middle_name": "SULEYMONOVNA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601849",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.