Individual provider Active NPI

Zena Sakka, DDS

  • Periodontics
  • Flushing, MI
National Provider Identifier
1285300962
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2901601098 Issued in MI
Practice address
2725 Timber Lane Dr
Flushing, MI 48433-3513
Phone
(810) 853-8002
NPI assigned
Aug 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 2901601098 MI Primary

Addresses

Primary practice location

2725 Timber Lane Dr
Flushing, MI 48433-3513

Mailing address

PO Box 526926
Miami, FL 33152-6926
Phone (313) 380-6323

Other practice location 1

27283 W Warren St
Dearborn Heights, MI 48127-1804
Phone (313) 380-6323

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
I20211101001221 MI Practitioner - Dentist 8224426879 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901601098MIMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Community Health Network, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Hamilton Community Health Network Inc. CurrentSince Nov 1, 2021 Accepting new patients
Wave Dental Specialists Detroit Periodontics PastSince Jul 3, 2022 Accepting new patients

Locations

225 E 5th St
Ste 300
Flint, MI 48502
Phone (810) 406-4912

G3375 S Saginaw St
Flint, MI 48529
Phone (810) 743-6830

2900 N Saginaw St
Flint, MI 48505
Phone (810) 789-9141

Organizations & group practices 3

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": "1629504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1285300962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 526926",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331526926",
            "telephone_number": "313-380-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 TIMBER LANE DR",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484333513",
            "telephone_number": "810-853-8002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27283 W Warren St",
            "address_purpose": "LOCATION",
            "city": "Dearborn Heights",
            "state": "MI",
            "postal_code": "481271804",
            "country_code": "US",
            "telephone_number": "313-380-6323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAKKA",
        "first_name": "ZENA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901601098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, MI

Sources for this page

Verify at the official NPI Registry.