Individual provider Active NPI

Bashar Essam Sedki, DDS

  • General Practice Dentistry
  • Commerce TWP, MI
National Provider Identifier
1457435182
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18176 Issued in MI
Practice address
2900 Union Lake Rd
Commerce TWP, MI 48382-3500
Phone
(248) 360-9620
NPI assigned
Oct 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18176 MI Primary

Addresses

Primary practice location

2900 Union Lake Rd
Commerce TWP, MI 48382-3500

Mailing address

39470 Springwater Dr
Northville, MI 48168-3959
Phone (248) 231-9063

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
I20150509000361 MI Order and Referring Only - DentistPractitioner - Dentist 9931428182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18176MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Dental Center PLLC General Practice Past Accepting new patients
B Sedki DDS PLLC General Practice Past Accepting new patients

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, 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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457435182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39470 SPRINGWATER DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481683959",
            "telephone_number": "248-231-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 UNION LAKE RD",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483823500",
            "telephone_number": "248-360-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDKI",
        "first_name": "BASHAR",
        "middle_name": "ESSAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "18176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce TWP, MI

Sources for this page

Verify at the official NPI Registry.