Individual provider Active NPI

Abdel-Ghany Alsaidi, DDS. MS

  • Periodontics
  • West Bloomfield, MI
National Provider Identifier
1407286446
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2901021098 Issued in MI
Practice address
6010 W Maple Rd Ste 210
West Bloomfield, MI 48322-4406
Phone
(248) 487-9990
NPI assigned
Nov 12, 2013
Last updated
May 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 2901021098 MI Primary

Addresses

Primary practice location

6010 W Maple Rd Ste 210
West Bloomfield, MI 48322-4406

Mailing address

6010 W Maple Rd Ste 210
West Bloomfield, MI 48322-4406
Phone (248) 487-9990

Other names 1

  • Dr. Ag Alsaidi Professional name

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
I20160810002672 MI Order and Referring Only - DentistPractitioner - Dentist 9739473919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2901021098MIMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Alsaidi Perio Center, PLC Periodontics CurrentSince May 18, 2025 Accepting new patients

Locations

6010 W Maple Rd
Ste 210
West Bloomfield, MI 48322
Phone (248) 487-9990

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1407286446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 W MAPLE RD STE 210",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224406",
            "telephone_number": "248-487-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 W MAPLE RD STE 210",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224406",
            "telephone_number": "248-487-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSAIDI",
        "first_name": "ABDEL-GHANY",
        "name_prefix": "Dr.",
        "credential": "DDS. MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-12",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901021098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AG",
            "last_name": "ALSAIDI",
            "prefix": "DR.",
            "credential": "DDS, MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.