Active NPI
Samar Ali Charara
- Dentist
- Dearborn, MI
National Provider Identifier
1417748492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901602581
- Practice address
- 10413 Ford Rd Unit N
Dearborn, MI 48126-3334 - Phone
- (313) 769-3400
- NPI assigned
- May 16, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901602581 | MI | Primary |
Addresses
Primary practice location
10413 Ford Rd Unit N
Dearborn, MI 48126-3334
Mailing address
26601 Ashley St
Dearborn Heights, MI 48127-1906
Phone (313) 229-1241
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2901602581 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1417748492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26601 ASHLEY ST",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481271906",
"telephone_number": "313-229-1241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10413 FORD RD UNIT N",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263334",
"telephone_number": "313-769-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARARA",
"first_name": "SAMAR",
"middle_name": "ALI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-16",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901602581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.