Active NPI
Ghalia Kayali Katranji
- General Practice Dentistry
- Troy, MI
National Provider Identifier
1205018371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901015470
- Practice address
- 1565 W Big Beaver Rd BLDG F
Troy, MI 48084-3525 - Phone
- (248) 649-1975
- Fax
- (248) 649-1975
- NPI assigned
- Nov 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901015470 | MI | |
| General Practice Dentistry | 1223G0001X | 2901015470 | MI | Primary |
Addresses
Primary practice location
1565 W Big Beaver Rd BLDG F
Troy, MI 48084-3525
Mailing address
1756 N Telegraph Rd
Dearborn, MI 48128-1271
Phone (313) 563-6601
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160412001987 | MI | Order and Referring Only - Dentist | 8123326964 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901015470 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Troy Luxury Dentistry | General Practice | Current | Accepting new patients |
Locations
1565 W Big Beaver Rd
Bldg F
Troy, MI 48084
Phone (248) 649-1975
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.
-
- General Practice Dentistry
- Troy, MI
- NPI 1578285862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1205018371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1756 N TELEGRAPH RD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481281271",
"telephone_number": "313-563-6601",
"fax_number": "313-563-6986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1565 W BIG BEAVER RD BLDG F",
"city": "TROY",
"state": "MI",
"postal_code": "480843525",
"telephone_number": "248-649-1975",
"fax_number": "248-649-1975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATRANJI",
"first_name": "GHALIA",
"middle_name": "KAYALI",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-30",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901015470",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901015470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.