Roman R Sadikoff, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901017371 Issued in MI

Practice address

50475 Gratiot Ave
Suite 4
Chesterfield, MI 48051-3128

Phone

(586) 949-5363

Fax

(586) 949-5366

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Roman Sadikoff PLLC

  • Dentist
  • Chesterfield, MI
  • NPI 1093185910
  NPD (past) Authorized official
• TMJ & Sleep Therapy Centre of Macomb County, PLLC

  • General Practice Dentistry
  • Chesterfield, MI
  • NPI 1366904708
  NPD (past) Authorized official

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245260447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50475 GRATIOT AVE",
            "address_2": "SUITE 4",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480513128",
            "telephone_number": "586-949-5363",
            "fax_number": "586-949-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50475 GRATIOT AVE",
            "address_2": "SUITE 4",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480513128",
            "telephone_number": "586-949-5363",
            "fax_number": "586-949-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADIKOFF",
        "first_name": "ROMAN",
        "middle_name": "R",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria N Russo
• Rachel Saad
• Imrana Sabanovic, LPN
• Erika Jean Sabatini
• Emma Sadanowicz
• Nusrat Sadique
• Ethan Saif
• Rochelle Bernice Saldana, LPN
• Joseph Samuel Salerno, DPM
• Enesa Salihovic

• General Practice Dentistry in Chesterfield, MI
• Providers in Chesterfield, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.