Individual provider Active NPI

Ayaz P. Jafri, D.M.D.

  • Dentist
  • Owosso, MI
National Provider Identifier
1568508703
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901016700 Issued in MI
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

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260611002739 MI Practitioner - Dentist 3678886199 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
2901016700MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Michigan Dental Center P C General Practice CurrentSince Aug 23, 1999 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.

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

Verify at the official NPI Registry.