Nawrooz Sara Putris, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901601313 Issued in MI

Practice address

16400 26 Mile Rd
Macomb, MI 48042-1056

Phone

(586) 697-5638

NPI assigned

Jun 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Generations Family Dental Care

  • Dental Clinic/Center
  • Macomb, MI
  • NPI 1861127078
  NPD

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1801535562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14751 ASHTON LN",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483154908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16400 26 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480421056",
            "telephone_number": "586-697-5638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26776 W 12 Mile Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480347807",
            "country_code": "US",
            "telephone_number": "248-355-3993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUTRIS",
        "first_name": "NAWROOZ",
        "middle_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Solutions, Inc.
• Premier Therapy Solutions
• Pro Home Care Services LLC
• Prosperous Home Health LLC
• Purple Arch Neuro Rehabilitation, LLC
• Olfat Putris
• Danielle Holly Quinn, NP-C
• Radiant Counseling Services, PLLC
• Waseem Rafiq
• Chona Raguero, OTA

• Dentist in Macomb, MI
• Providers in Macomb, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.