Joseph H Odeesh, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901016825 Issued in MI

Practice address

11451 Joseph Campau St
Hamtramck, MI 48212-3040

Phone

(313) 365-4870

Fax

(313) 365-5470

NPI assigned

Apr 19, 2006

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 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.

• Joseph Odeesh DDS,PC

  • Public Health Dentistry
  • Hamtramck, MI
  • NPI 1972629962
  NPD (past) Authorized official
• Rainbow Dental Ddspc

  • Dentist
  • Hamtramck, MI
  • NPI 1508248147
  NPD (past) Authorized official

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053376525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11451 JOSEPH CAMPAU ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123040",
            "telephone_number": "313-365-4870",
            "fax_number": "313-365-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11451 JOSEPH CAMPAU ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123040",
            "telephone_number": "313-365-4870",
            "fax_number": "313-365-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODEESH",
        "first_name": "JOSEPH",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901016825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nexgen Homesupport LLC
• No Bussiness
• Farzana Noor
• Oasis Home Care LLC
• Rana Obeid
• Olan Jareunpoon, M.D., P.C.
• Ashley Olson
• Abeer Omer
• Oncall Couriers LLC
• Optimal Care Services PLLC

• Dentist in Hamtramck, MI
• Providers in Hamtramck, MI by specialty
• Dentist 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.