Individual provider Active NPI

Sarmad Ramzi Eiwaz, DMD

  • General Practice Dentistry
  • Farmington Hills, MI
National Provider Identifier
1134650450
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901022331 Issued in MI
Practice address
32905 W 12 Mile Rd
Suite 140 Building D
Farmington Hills, MI 48334-1982
Phone
(248) 516-0004
Fax
(248) 522-4626
NPI assigned
Mar 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901022331 MI Primary

Addresses

Primary practice location

32905 W 12 Mile Rd
Suite 140 Building D
Farmington Hills, MI 48334-1982

Mailing address

32905 W 12 Mile Rd
Suite 140 Building D
Farmington Hills, MI 48334-1982
Phone (248) 516-0004

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
I20170721001772 MI Order and Referring Only - DentistPractitioner - Dentist 5092085159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eiwaz Dental, PLLC CurrentSince Nov 19, 2023 Accepting new patients

Locations

32905 W 12 Mile Rd
Ste 140
Farmington Hills, MI 48334
Phone (248) 516-0004

32910 W 13 Mile Rd
Ste B200
Farmington Hills, MI 48334
Phone (248) 626-6526

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1134650450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32905 W 12 MILE RD",
            "address_2": "SUITE 140 BUILDING D",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341982",
            "telephone_number": "248-516-0004",
            "fax_number": "248-522-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32905 W 12 MILE RD",
            "address_2": "SUITE 140 BUILDING D",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341982",
            "telephone_number": "248-516-0004",
            "fax_number": "248-522-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIWAZ",
        "first_name": "SARMAD",
        "middle_name": "RAMZI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.