Organization Active NPI

Serenity Family Dentist

  • General Practice Dentistry
  • Royal Oak, MI
National Provider Identifier
1962131920
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SERENITY FAMILY DENTIST
Practice address
1715 Crooks Rd
Royal Oak, MI 48067-1306
Phone
(248) 398-5520
Fax
(248) 591-0985
NPI assigned
Jun 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Dr. Sohrab Ansari, DDSNPI 1306392386
Title
President/Dentist
Phone
(248) 398-5520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1715 Crooks Rd
Royal Oak, MI 48067-1306

Mailing address

1715 Crooks Rd
Royal Oak, MI 48067-1306
Phone (248) 398-5520

National Provider Directory

National Provider Directory

Locations

1715 Crooks Rd
Royal Oak, MI 48067
Phone (248) 398-5520

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1962131920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 CROOKS RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671306",
            "telephone_number": "248-398-5520",
            "fax_number": "248-591-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 CROOKS RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671306",
            "telephone_number": "248-398-5520",
            "fax_number": "248-591-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY FAMILY DENTIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "ANSARI",
        "authorized_official_first_name": "SOHRAB",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "248-398-5520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.