NPIMap

Organization Active NPI

Sanilac Family Dentistry

  • Dentist
  • Sandusky, MI
National Provider Identifier
1558455592
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17451 Issued in MI
Legal business name
SANILAC FAMILY DENTISTRY
Practice address
749 N Sandusky Rd
Sandusky, MI 48471-9143
Phone
(810) 648-3224
Fax
(810) 648-4411
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Hisham Kaloti, DDS
Title
Denist/Owner
Phone
(419) 866-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 17451 MI Primary

Addresses

Primary practice location

749 N Sandusky Rd
Sandusky, MI 48471-9143

Mailing address

3210 Briarfield Blvd
Maumee, OH 43537-9501
Phone (419) 866-2400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558455592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 BRIARFIELD BLVD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379501",
            "telephone_number": "419-866-2400",
            "fax_number": "419-866-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 N SANDUSKY RD",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484719143",
            "telephone_number": "810-648-3224",
            "fax_number": "810-648-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANILAC FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KALOTI",
        "authorized_official_first_name": "HISHAM",
        "authorized_official_title_or_position": "DENIST/OWNER",
        "authorized_official_telephone_number": "419-866-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "17451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.