Active NPI
Ayaz P. Jafri, D.M.D.
- Dentist
- Owosso, MI
National Provider Identifier
1568508703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901016700
- Practice address
- 1425 N. M-52
Owosso, MI 48867-1234 - Phone
- (989) 729-1999
- Fax
- (989) 729-9949
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901016700 | MI | |
| Dentist | 122300000X | 2901016700 | MI | Primary |
Addresses
Primary practice location
1425 N. M-52
Owosso, MI 48867-1234
Mailing address
PO Box 1080
Owosso, MI 48867-6080
Phone (989) 729-1999
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- University of Louisville School of Dentistry, 1994
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1415 3Rd St SE
Moultrie, GA 31768-5920
1425 N M
Suite 52
Owosso, MI 48867-1234
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901016700 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid Michigan Dental Center P C | General Practice | Current | Accepting new patients |
Locations
1425 N M 52
Owosso, MI 48867
Phone (989) 729-1999
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Owosso, MI
- NPI 1407439540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1568508703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1080",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488676080",
"telephone_number": "989-729-1999",
"fax_number": "989-729-9949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 N. M-52",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488671234",
"telephone_number": "989-729-1999",
"fax_number": "989-729-9949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAFRI",
"first_name": "AYAZ",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901016700",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901016700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owosso, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.