Organization Active NPI

Bashar E. Sedki, DDS, P.C.

  • Dental Clinic/Center
  • Detroit, MI
National Provider Identifier
1720415714
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2901018176 Issued in MI
Legal business name
BASHAR E. SEDKI, DDS, P.C.
Practice address
2217 Springwells St
Detroit, MI 48209-1509
Phone
(313) 554-8900
Fax
(313) 841-9002
NPI assigned
Oct 4, 2013
Last updated
Oct 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Authorized official

Name
Elizabeth Cuevas
Title
Office Manager
Phone
(313) 554-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2901018176 MI Primary

Addresses

Primary practice location

2217 Springwells St
Detroit, MI 48209-1509

Mailing address

2217 Springwells St
Detroit, MI 48209-1509
Phone (313) 554-8900

National Provider Directory

National Provider Directory

Locations

2217 Springwells St
Detroit, MI 48209
Phone (313) 554-8900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1720415714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 SPRINGWELLS ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482091509",
            "telephone_number": "313-554-8900",
            "fax_number": "313-841-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 SPRINGWELLS ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482091509",
            "telephone_number": "313-554-8900",
            "fax_number": "313-841-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASHAR E. SEDKI, DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "CUEVAS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-554-8900"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901018176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.