Individual provider Active NPI

Sara Alias, DMD

  • Dentist
  • Farmington Hills, MI
National Provider Identifier
1366010514
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901600876 Issued in MI
Practice address
25882 Orchard Lake Rd Ste 209
Farmington Hills, MI 48336-1295
Phone
(248) 230-2413
NPI assigned
Jun 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901600876 MI Primary

Addresses

Primary practice location

25882 Orchard Lake Rd Ste 209
Farmington Hills, MI 48336-1295

Mailing address

27828 Westcott Crescent Cir
Farmington Hills, MI 48334-5314
Phone (248) 884-3303

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
2901600876MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1366010514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27828 WESTCOTT CRESCENT CIR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483345314",
            "telephone_number": "248-884-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25882 ORCHARD LAKE RD STE 209",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361295",
            "telephone_number": "248-230-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIAS",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.