Samar Mokhayesh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28901017682 Issued in MI

Practice address

30060 23 Mile Rd
Chesterfield, MI 48047-5718

Phone

(586) 949-2240

NPI assigned

Jan 11, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sunny Smiles P.C.

  • General Practice Dentistry
  • Chesterfield, MI
  • NPI 1508069907
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972653244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52833 SEVEN OAKS DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483162992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30060 23 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480475718",
            "telephone_number": "586-949-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOKHAYESH",
        "first_name": "SAMAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "28901017682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4576013",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley Mitchell
• Ian Mitchell
• Mitten Mobile Wound Care LLC
• Mmmpt
• Abrar Mohammed
• Diana Monaco, LMSW, CAADC,ADS
• Monson Eye Care PLLC
• Gary P Montgomery, MA, LPC
• Jasmine Montgomery
• Hannah Moody

• General Practice Dentistry in Chesterfield, MI
• Providers in Chesterfield, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.