Individual provider Active NPI

Adnan Ismail Alamdi Sr., DDS

  • Dentist
  • Flint, MI
National Provider Identifier
1659798239
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901021157 Issued in MI
Practice address
2501 W Pierson Rd
Flint, MI 48504-6802
Phone
(313) 522-3015
NPI assigned
Mar 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901021157 MI Primary

Addresses

Primary practice location

2501 W Pierson Rd
Flint, MI 48504-6802

Mailing address

350 N Clark St
6TH Floor Chicago
Chicago, IL 60654-4712
Phone (313) 522-3015

Other names 1

  • Dr. Adnan Ismail Alamdi Sr. Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160323002402 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9931406642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30858TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Dental PLLC Current Accepting new patients
Amdi Dental PLLC Current 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": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1659798239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N CLARK ST",
            "address_2": "6TH FLOOR CHICAGO",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606544712",
            "telephone_number": "313-522-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W PIERSON RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485046802",
            "telephone_number": "313-522-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAMDI",
        "first_name": "ADNAN",
        "middle_name": "ISMAIL",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-21",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADNAN",
            "last_name": "ALAMDI",
            "middle_name": "ISMAIL",
            "prefix": "DR.",
            "suffix": "SR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.