Individual provider Active NPI

Sarah M Conley-de Jesus, RDH

  • Dental Hygienist
  • West Bloomfield, MI
National Provider Identifier
1184019218
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
2902016989 Issued in MI
Practice address
6010 W Maple Rd
Suite 210
West Bloomfield, MI 48322-4406
Phone
(248) 214-9594
Fax
(248) 419-6124
NPI assigned
Apr 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 2902016989 MI Primary

Addresses

Primary practice location

6010 W Maple Rd
Suite 210
West Bloomfield, MI 48322-4406

Mailing address

6010 W Maple Rd
Suite 210
West Bloomfield, MI 48322-4406
Phone (248) 214-9594

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
2902016989MIMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Karmo Dental PLLC PastSince Dec 1, 2023 Accepting new patients

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": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1184019218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 W MAPLE RD",
            "address_2": "SUITE 210",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224406",
            "telephone_number": "248-214-9594",
            "fax_number": "248-419-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 W MAPLE RD",
            "address_2": "SUITE 210",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224406",
            "telephone_number": "248-214-9594",
            "fax_number": "248-419-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY-DE JESUS",
        "first_name": "SARAH",
        "middle_name": "M",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MI",
            "license": "2902016989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.