Daleen Siheim Hammoud, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901602223 Issued in MI

Practice address

2064 Baldwin St Ste a
Jenison, MI 49428-8773

Phone

(616) 457-2299

NPI assigned

Jun 29, 2024

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Grand Valley Dental Care, P.C.

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1568599660
  NPD (past)
• Midwest Implant Surgery Center

  • General Practice Dentistry
  • Jenison, MI
  • NPI 1154800357
  NPD (past)

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

{
    "created_epoch": "1719619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719619200000",
    "number": "1083459135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5047 CHERRY BLOSSOM CIR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483244009",
            "telephone_number": "313-693-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2064 BALDWIN ST STE A",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494288773",
            "telephone_number": "616-457-2299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Division Ave S",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495073029",
            "country_code": "US",
            "telephone_number": "616-245-2767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMOUD",
        "first_name": "DALEEN",
        "middle_name": "SIHEIM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-29",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901602223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quintin Andrew Hacker, PHARMD
• Becky Lynn Haderer
• Marisa Faith Hahn
• Steven M Hall, D.D.S
• Dusty Dawn Hammis
• Nathanael Paul Hansen, LPC
• Lainah Hanson
• Harbor House Ministries, Inc
• Timothy James Harlos, LLC
• Eric Ryan Hartman, D. C.

• Dentist in Jenison, MI
• Providers in Jenison, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.