Individual provider Active NPI

Sadeer Osam Daood, DDS

  • General Practice Dentistry
  • Dearborn, MI
National Provider Identifier
1699845966
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901019131 Issued in MI
Practice address
23239 Michigan Ave
Dearborn, MI 48124-2029
Phone
(313) 561-6500
NPI assigned
Nov 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2901019131 MI Primary

Addresses

Primary practice location

23239 Michigan Ave
Dearborn, MI 48124-2029

Mailing address

PO Box 2421
Dearborn, MI 48123-2421
Phone (519) 919-3898

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
I20160606000117 MI Order and Referring Only - DentistPractitioner - Dentist 4688964539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901019131MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Dental Ventures Phoenix LLC Current Accepting new patients
Dental Views Az PLLC Current Accepting new patients
Arizona Dental Ventures Peoria LLC Current Accepting new patients
Dental Health Group of Michigan Past Accepting new patients

Locations

5340 S Power Rd
Ste 104
Gilbert, AZ 85295
Phone (480) 258-1731

Organizations & group practices 4

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699845966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2421",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481232421",
            "telephone_number": "519-919-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23239 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242029",
            "telephone_number": "313-561-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAOOD",
        "first_name": "SADEER",
        "middle_name": "OSAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.