Organization Active NPI

Sterling Dental, DDS, P.C.

  • General Practice Dentistry
  • Detroit, MI
National Provider Identifier
1396853081
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
STERLING DENTAL, DDS, P.C.
Doing business as
Sterling Dental
Practice address
17200 E Warren Ave
Detroit, MI 48224-2498
Phone
(313) 882-6635
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nabih Kizy
Title
Presedent
Phone
(313) 882-6635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X MI Primary

Addresses

Primary practice location

17200 E Warren Ave
Detroit, MI 48224-2498

Mailing address

17200 E Warren Ave
Detroit, MI 48224-2498
Phone (313) 882-6635

Other identifiers 1

IdentifierTypeStateIssuer
4285428MedicaidMI

Other names 1

  • Sterling Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396853081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17200 E WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242498",
            "telephone_number": "313-882-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 E WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242498",
            "telephone_number": "313-882-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING DENTAL, DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIZY",
        "authorized_official_first_name": "NABIH",
        "authorized_official_title_or_position": "PRESEDENT",
        "authorized_official_telephone_number": "313-882-6635"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4285428",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sterling Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.