Active NPI
Sarah Shawky Mikhail, B.D.S.
- Dentist
- Youngstown, OH
National Provider Identifier
1568636595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 004437
- Practice address
- 1001 Covington Avenue
Department of Medical Education
Youngstown, OH 44510-1617 - Phone
- (330) 480-3195
- NPI assigned
- Apr 22, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | RES.004437 | OH | |
| Dentist | 122300000X | 004437 | OH | Primary |
Addresses
Primary practice location
1001 Covington Avenue
Department of Medical Education
Youngstown, OH 44510-1617
Mailing address
1001 Covington Avenue
Department of Medical Education
Youngstown, OH 44510-1617
Phone (330) 480-3195
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141215001444 | OH | Order and Referring Only - Dentist | 1850613233 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004437 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1568636595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 COVINGTON AVENUE",
"address_2": "DEPARTMENT OF MEDICAL EDUCATION",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445101617",
"telephone_number": "330-480-3195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 COVINGTON AVENUE",
"address_2": "DEPARTMENT OF MEDICAL EDUCATION",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445101617",
"telephone_number": "330-480-3195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKHAIL",
"first_name": "SARAH",
"middle_name": "SHAWKY",
"name_prefix": "Dr.",
"credential": "B.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-22",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "RES.004437",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "004437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.