Active NPI
Aryan Esaneh Roushanrouz, DDS
- Dentist
- Ann Arbor, MI
National Provider Identifier
1619407491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901022332
- Practice address
- 26 Southwick CT
Ann Arbor, MI 48105-1410 - Phone
- (248) 835-5002
- NPI assigned
- Jun 14, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901022332 | MI | Primary |
Addresses
Primary practice location
26 Southwick CT
Ann Arbor, MI 48105-1410
Mailing address
26 Southwick CT
Ann Arbor, MI 48105-1410
Phone (248) 835-5002
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2901022332 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1619407491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 SOUTHWICK CT",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481051410",
"telephone_number": "248-835-5002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 SOUTHWICK CT",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481051410",
"telephone_number": "248-835-5002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSHANROUZ",
"first_name": "ARYAN",
"middle_name": "ESANEH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901022332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.