Individual provider Active NPI

Ghalia Kayali Katranji

  • General Practice Dentistry
  • Troy, MI
National Provider Identifier
1205018371
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901015470 Issued in MI
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

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160412001987 MI Order and Referring Only - DentistPractitioner - Dentist 8123326964

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901015470MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.