Active NPI
Haneen Afaneh
- General Practice Dentistry
- Schererville, IN
National Provider Identifier
1023634318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.032611
- Practice address
- 1123 Auburn Meadow LN
Schererville, IN 46375-1381 - Phone
- (708) 248-5108
- NPI assigned
- Jun 22, 2020
- Last updated
- Jun 22, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.032611 | IL | Primary |
Addresses
Primary practice location
1123 Auburn Meadow LN
Schererville, IN 46375-1381
Mailing address
1123 Auburn Meadow LN
Schererville, IN 46375-1381
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.032611 | IL | MD | General Practice Dentistry |
Interoperability endpoints
- haneenbassam.afaneh.p1@direct.meridianhs.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592784000000",
"number": "1023634318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1123 AUBURN MEADOW LN",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463751381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1123 AUBURN MEADOW LN",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463751381",
"telephone_number": "708-248-5108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AFANEH",
"first_name": "HANEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-22",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.032611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schererville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.