Organization Active NPI

Sapphire Primary Care PC

  • Family Medicine Physician
  • Sterling Heights, MI
National Provider Identifier
1295184315
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301097492 Issued in MI
Legal business name
SAPPHIRE PRIMARY CARE PC
Practice address
37300 Dequindre Rd
Ste 134
Sterling Heights, MI 48310-3591
Phone
(586) 999-5140
Fax
(586) 554-7901
NPI assigned
Jun 9, 2016
Last updated
Jun 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Authorized official

Name
Dr. Ban Kinaia, M.D.NPI 1063676856
Title
Owner
Phone
(586) 999-5140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301097492 MI Primary

Addresses

Primary practice location

37300 Dequindre Rd
Ste 134
Sterling Heights, MI 48310-3591

Mailing address

37300 Dequindre Rd
Ste 134
Sterling Heights, MI 48310-3591
Phone (586) 999-5140

National Provider Directory

National Provider Directory

Locations

37300 Dequindre Rd
Ste 134
Sterling Heights, MI 48310
Phone (586) 999-5140

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1295184315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37300 DEQUINDRE RD",
            "address_2": "STE 134",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103591",
            "telephone_number": "586-999-5140",
            "fax_number": "586-554-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37300 DEQUINDRE RD",
            "address_2": "STE 134",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103591",
            "telephone_number": "586-999-5140",
            "fax_number": "586-554-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAPPHIRE PRIMARY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "KINAIA",
        "authorized_official_first_name": "BAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-999-5140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301097492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.