Individual provider Active NPI

Rafal Elyas, DDS

  • Dentist
  • Warren, MI
National Provider Identifier
1265314348
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901602753 Issued in MI
Practice address
31201 Chicago Rd S Ste A301
Warren, MI 48093-5523
Phone
(586) 434-4040
NPI assigned
Jul 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901602753 MI Primary

Addresses

Primary practice location

31201 Chicago Rd S Ste A301
Warren, MI 48093-5523

Mailing address

32834 Lorraine Ave
Warren, MI 48093-1026

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
2901602753MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Design Group PLLC CurrentSince Dec 21, 2025 Accepting new patients

Locations

31201 Chicago Rd S
Ste A301
Warren, MI 48093
Phone (586) 434-4040

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": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1265314348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32834 LORRAINE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480931026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31201 CHICAGO RD S STE A301",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935523",
            "telephone_number": "586-434-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELYAS",
        "first_name": "RAFAL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901602753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.