Individual provider Active NPI

Sadiya Ahsan, DDS

  • General Practice Dentistry
  • Ypsilanti, MI
National Provider Identifier
1740697705
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901600144 Issued in MI
Practice address
2429 Ellsworth Rd
Ypsilanti, MI 48197-4853
Phone
(734) 434-0043
NPI assigned
Jul 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22D102576700 NJ
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 2901600144 MI Primary

Addresses

Primary practice location

2429 Ellsworth Rd
Ypsilanti, MI 48197-4853

Mailing address

2429 Ellsworth Rd
Ypsilanti, MI 48197-4853
Phone (734) 434-0043

Other practice location 1

333 E 102nd St
Apartment 829
New York, NY 10029-5631
Phone (516) 974-9934

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
22D102576700NJMDDentist
2901600144MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Dreams PLLC General Practice PastSince May 17, 2020 Accepting new patients

Organizations & group practices 1

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": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1740697705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 ELLSWORTH RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481974853",
            "telephone_number": "734-434-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 ELLSWORTH RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481974853",
            "telephone_number": "734-434-0043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 E 102nd St",
            "address_2": "Apartment 829",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100295631",
            "country_code": "US",
            "telephone_number": "516-974-9934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHSAN",
        "first_name": "SADIYA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D102576700",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.