Maryam Kishta-Derani, D.D.S.
NPI 1407049810 · Dentist · Lansing, MI
Enrolled with Medicare as Order and Referring Only - Other (physician) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maryam Kishta-Derani, D.D.S. is a Dentist provider in Lansing, MI (NPI 1407049810).
Provider details
- NPI number
- 1407049810
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2901019672 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-08-20
- Last updated
- 2007-08-20
Frequently asked questions
- What is Maryam Kishta-Derani's NPI number?
- Maryam Kishta-Derani's National Provider Identifier (NPI) is 1407049810, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Maryam Kishta-Derani's specialty?
- Maryam Kishta-Derani is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Maryam Kishta-Derani located?
- Maryam Kishta-Derani's practice location on file with NPPES is 2815 S Pennsylvania Ave, Lansing, MI 48910-3496.
- What is Maryam Kishta-Derani's phone number?
- The practice phone number listed in the NPPES registry for Maryam Kishta-Derani is (517) 272-4150.
- Does Maryam Kishta-Derani accept Medicare?
- Maryam Kishta-Derani is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Maryam Kishta-Derani's NPI active?
- Yes — Maryam Kishta-Derani's NPI (1407049810) is active in the NPPES registry as of the last update on 2007-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.