Ehsan Saleki, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

6560 Issued in WI

Practice address

132 E Drexel Ave
Oak Creek, WI 53154-2123

Phone

(414) 762-9010

Fax

(414) 762-9010

NPI assigned

Jul 16, 2010

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 WI

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.

• Ocdc, LLC

  dba Oak Creek Dental Care

  • Dental Clinic/Center
  • Oak Creek, WI
  • NPI 1427564897
  NPD (past) Authorized official
• Oak Creek Dental Care LLC

  • Dental Clinic/Center
  • Oak Creek, WI
  • NPI 1851784599
  NPD (past)

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513814400000",
    "number": "1346553559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 E DREXEL AVE",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531542123",
            "telephone_number": "414-762-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 E DREXEL AVE",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531542123",
            "telephone_number": "414-762-9010",
            "fax_number": "414-762-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEKI",
        "first_name": "EHSAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-16",
        "last_updated": "2017-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Rusecki, DC
• Jori Lee Russ, RN
• Zainab Saddiq, OD
• Safetrans LLC
• Dania Saleem, RPH
• Mallory Hannah Salentine, M.D.
• Natasha Idalys Sanchez
• Uma Y Sanzgiri
• Kathryn S Sayers, LPC
• Michael Scerpella, MD

• Dentist in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; 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.