Active NPI
Sadiya Ahsan, DDS
- General Practice Dentistry
- Ypsilanti, MI
National Provider Identifier
1740697705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901600144
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22D102576700 | NJ | |
| General Practice Dentistry | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 22D102576700 | NJ | MD | Dentist |
| 2901600144 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Dreams PLLC | General Practice | Past | 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.
-
- General Practice Dentistry
- Ypsilanti, MI
- NPI 1124440391
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.