Individual provider Active NPI

Natasha Aazami, DDS

  • Dentist
  • Roseville, MI
National Provider Identifier
1518352145
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901021541 Issued in MI
Practice address
21055 E 12 Mile Rd
Roseville, MI 48066-2205
Phone
(586) 772-0100
NPI assigned
Mar 31, 2015
Last updated
Mar 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901021541 MI Primary

Addresses

Primary practice location

21055 E 12 Mile Rd
Roseville, MI 48066-2205

Mailing address

5175 Hertford Dr
Troy, MI 48085-3230
Phone (248) 860-9915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160212001038 OH Order and Referring Only - DentistPractitioner - Dentist 0547564486

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901021541MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Carl Papa D.D.S., P.C. Dentist Past Accepting new patients
Wdwrosevillepllc 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": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1518352145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5175 HERTFORD DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853230",
            "telephone_number": "248-860-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21055 E 12 MILE RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480662205",
            "telephone_number": "586-772-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AAZAMI",
        "first_name": "NATASHA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.