Individual provider Active NPI

Nazli Massarat Asrar, DDS

  • Dentist
  • Ypsilanti, MI
National Provider Identifier
1447429170
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901021096 Issued in MI
Practice address
1747 E Michigan Ave
Ypsilanti, MI 48198-6069
Phone
(734) 484-4710
Fax
(734) 544-1403
NPI assigned
Feb 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 56755 CA
Dentist 122300000X 2901021096 MI Primary

Addresses

Primary practice location

1747 E Michigan Ave
Ypsilanti, MI 48198-6069

Mailing address

1747 E Michigan Ave
Ypsilanti, MI 48198-6069
Phone (734) 484-4710

Other names 1

  • Dr. Nazli Massarat Asrar Other name

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
56755CAMDDentist
2901021096MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Naz DDS PC CurrentSince Feb 6, 2022 Accepting new patients
Bruce L. Hern DDS, Robert N. Hern DDS, PC Dentist PastSince Jan 26, 2022 Accepting new patients

Locations

1747 E Michigan Ave
Ypsilanti, MI 48198
Phone (734) 484-4710

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1447429170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 E MICHIGAN AVE",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481986069",
            "telephone_number": "734-484-4710",
            "fax_number": "734-544-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 E MICHIGAN AVE",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481986069",
            "telephone_number": "734-484-4710",
            "fax_number": "734-544-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASRAR",
        "first_name": "NAZLI",
        "middle_name": "MASSARAT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56755",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAZLI",
            "last_name": "ASRAR",
            "middle_name": "MASSARAT",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.