Individual provider Active NPI

Sarah Shoukry Shoukr, DDS

  • General Practice Dentistry
  • Ann Arbor, MI
National Provider Identifier
1568955193
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901022671 Issued in MI
Practice address
221 N Ingalls St
Ann Arbor, MI 48104
Phone
(734) 996-0055
NPI assigned
Jun 8, 2018
Last updated
Feb 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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 30.025651 OH
General Practice Dentistry 1223G0001X 2901022671 MI Primary

Addresses

Primary practice location

221 N Ingalls St
Ann Arbor, MI 48104

Mailing address

788 Waymarket Dr
Ann Arbor, MI 48103-6445
Phone (513) 602-8150

Other practice location 1

25110 Telegraph Rd
Brownstown, MI 48134-1072
Phone (734) 783-5255

Other practice location 2

3504 Secor Rd Ste 330
Toledo, OH 43606-1544
Phone (419) 534-3005

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
I20181002003488 MI Order and Referring Only - DentistPractitioner - Dentist 9032461074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.025651OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Regina M. Dailey, DMD General Practice Past Accepting new patients
B. a. Burkhart, D. D. S., P.C. General Practice Past Accepting new patients
Eleni Callis DDS PLLC Past Accepting new patients

Organizations & group practices 3

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": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1568955193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 WAYMARKET DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036445",
            "telephone_number": "513-602-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N INGALLS ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48104",
            "telephone_number": "734-996-0055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25110 Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Brownstown",
            "state": "MI",
            "postal_code": "481341072",
            "country_code": "US",
            "telephone_number": "734-783-5255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3504 Secor Rd Ste 330",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436061544",
            "country_code": "US",
            "telephone_number": "419-534-3005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOUKR",
        "first_name": "SARAH",
        "middle_name": "SHOUKRY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025651",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.