Sabrina Imran Wadood, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901022649 Issued in MI

Practice address

853 Fulton St E
Grand Rapids, MI 49503-3561

Phone

(586) 214-7693

NPI assigned

Jun 14, 2018

Last updated

Apr 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sab Dentistry PLLC

  dba Fulton Family Dentistry

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1851971964
  NPD Authorized official
• Dr. Mark Salhaney D.D.S., P.C.

  dba n/a

  • Dentist
  • Grand Rapids, MI
  • NPI 1245642297
  NPD (past)
• Forest Hills Dental, P.C.

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1932554995
  NPD (past)
• Pro Dental Mi 1 PC

  dba Destiny Dental of Wyoming

  • General Practice Dentistry
  • Wyoming, MI
  • NPI 1326875600
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1659864536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6688 FOREST VALLEY DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495469201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 FULTON ST E",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033561",
            "telephone_number": "586-214-7693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 Cascade Rd SE Ste 107",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495463665",
            "country_code": "US",
            "telephone_number": "616-957-1304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADOOD",
        "first_name": "SABRINA",
        "middle_name": "IMRAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022649",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Waddilove, L.M.S.W.
• Debra Wade Mahoney
• Brittney Wade
• Melissa S Wade, LMSW
• Shaneka Wade
• Hannah Wadsworth, PA-C
• Christine Wagenfuehr, LPC
• Danielle Waggoner, MD
• Avery C Wagner, RBT
• Jared Wagner, MD

• Dentist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.

Verify at the official NPI Registry.