Ayed J Hawatmeh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49108 Issued in CA

Practice address

3495 Concours
Unit a
Ontario, CA 91764-4995

Phone

(909) 483-1379

Fax

(909) 483-1729

NPI assigned

Jan 13, 2011

Last updated

Jan 13, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ayed Hawatmeh DDS Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Pomona, CA
  • NPI 1942807979
  NPD Authorized official
• Ayed Hawatmeh DDS Inc

  • Dentist
  • Ontario, CA
  • NPI 1831613645
  Authorized official Same address or phone
• Hawatmeh Dental Group PC

  dba Bravo Dental Group of Banning

  • General Practice Dentistry
  • Banning, CA
  • NPI 1023660917
  Authorized official Same address or phone
• Hawatmeh Dental Group PC

  dba Bravo Dental Group of Hemet

  • Dentist
  • Hemet, CA
  • NPI 1881187995
  Authorized official Same address or phone
• Hawatmeh Dental, PC

  • Dentist
  • Brea, CA
  • NPI 1982000923
  NPD (past) Authorized official

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1043515653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 E. CONCOURS",
            "address_2": "UNIT A",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "91764",
            "telephone_number": "909-483-1379",
            "fax_number": "909-483-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 CONCOURS",
            "address_2": "UNIT A",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644995",
            "telephone_number": "909-483-1379",
            "fax_number": "909-483-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWATMEH",
        "first_name": "AYED",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Hasson
• Heather Hatfield
• Adesola Haugabrook
• Kelly Haus, LMFT
• Lindsey Haussamen
• Sophia Coraann Hawkins
• Erin Hawthorne
• Thaddeus D Hay
• Elizabeth Hayashi
• Diana Hayden

• General Practice Dentistry in Ontario, CA
• Providers in Ontario, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.