Individual provider Active NPI

Jodie Al-Jarrah, DDS

  • General Practice Dentistry
  • Garden City, MI
National Provider Identifier
1194539320
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901602425 Issued in MI
Practice address
6755 Merriman Rd Ste 1
Garden City, MI 48135-1978
Phone
(734) 680-0420
NPI assigned
Feb 6, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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 2901602425 MI Primary

Addresses

Primary practice location

6755 Merriman Rd Ste 1
Garden City, MI 48135-1978

Mailing address

221 Charing Cross CT
Bloomfield Hills, MI 48304-3507
Phone (248) 895-2363

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
2901602425MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Amazing Dental PLLC CurrentSince Feb 9, 2025 Accepting new patients

Locations

6755 Merriman Rd
Ste 1
Garden City, MI 48135
Phone (734) 680-0420

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": "1738800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1194539320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 CHARING CROSS CT",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483043507",
            "telephone_number": "248-895-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6755 MERRIMAN RD STE 1",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481351978",
            "telephone_number": "734-680-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-JARRAH",
        "first_name": "JODIE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901602425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.