Ayman Elmadawy, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901020104 Issued in MI

Practice address

505 N Jackson St
Jackson, MI 49201-1266

Phone

(517) 748-5500

Fax

(517) 783-2728

NPI assigned

Jan 30, 2012

Last updated

Jan 30, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1245502848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42878 LEDGEVIEW DR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772710",
            "telephone_number": "810-814-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N JACKSON ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011266",
            "telephone_number": "517-748-5500",
            "fax_number": "517-783-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMADAWY",
        "first_name": "AYMAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Elliott, LLMSW
• Diana Hwei-Ann Jan Ellis, D.D.S.
• Jolene Ellis, M.D.
• Shawn Archie Ellis, NP
• Kylie Ellsworth
• Elmortada Medical Services PC
• Sami Elsayed
• Ihab Elsewisy, RPH
• Sulafa Hassan Elshowaya, RDN
• Danielle Ms. Elswick, CNS

• Dentist in Jackson, MI
• Providers in Jackson, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.