Active NPI
Fatihma Haidar, DDS
- Dentist
- Morgantown, WV
National Provider Identifier
1083054647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS039636
- Practice address
- 4302 Chestnut HLS
Morgantown, WV 26505-0801 - Phone
- (304) 685-6778
- NPI assigned
- Jun 27, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS039636 | PA | Primary |
Addresses
Primary practice location
4302 Chestnut HLS
Morgantown, WV 26505-0801
Mailing address
4302 Chestnut HLS
Morgantown, WV 26505-0801
Phone (304) 685-6778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160322001001 | MD | Order and Referring Only - Dentist | 2567769342 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS039636 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372291200000",
"number": "1083054647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4302 CHESTNUT HLS",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265050801",
"telephone_number": "304-685-6778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4302 CHESTNUT HLS",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265050801",
"telephone_number": "304-685-6778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAIDAR",
"first_name": "FATIHMA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-27",
"last_updated": "2013-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS039636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.