Individual provider Active NPI

Aya Zaky, D.D.S.

  • General Practice Dentistry
  • Okemos, MI
National Provider Identifier
1619212677
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901020705 Issued in MI
Practice address
1735 Hamilton Rd
Ste. 450
Okemos, MI 48864-1894
Phone
(248) 755-5700
NPI assigned
Dec 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901020705 MI Primary

Addresses

Primary practice location

1735 Hamilton Rd
Ste. 450
Okemos, MI 48864-1894

Mailing address

23800 Orchard Lake Rd
Ste. 106
Farmington Hills, MI 48336-2560
Phone (248) 755-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901020705MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Aya Zaky DDS General Practice Current Accepting new patients
Convenient Family Dental Center, P.C. General Practice Past Accepting new patients

Organizations & group practices 2

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": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1619212677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23800 ORCHARD LAKE RD",
            "address_2": "STE. 106",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362560",
            "telephone_number": "248-755-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 HAMILTON RD",
            "address_2": "STE. 450",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641894",
            "telephone_number": "248-755-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKY",
        "first_name": "AYA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.