Active NPI
Hasan Daik, DMD
- Dentist
- Portage, IN
National Provider Identifier
1083549851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12015063A
- Practice address
- 6210 US Highway 6
Portage, IN 46368-5057 - Phone
- (219) 706-2213
- NPI assigned
- Jun 15, 2026
- Sex
- Male
- 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 | 12015063A | IN | Primary |
Addresses
Primary practice location
6210 US Highway 6
Portage, IN 46368-5057
Mailing address
7933 W 100TH PL
Palos Hills, IL 60465-1514
Phone (708) 964-7395
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1083549851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7933 W 100TH PL",
"city": "PALOS HILLS",
"state": "IL",
"postal_code": "604651514",
"telephone_number": "708-964-7395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6210 US HIGHWAY 6",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463685057",
"telephone_number": "219-706-2213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAIK",
"first_name": "HASAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-15",
"last_updated": "2026-06-15",
"certification_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12015063A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portage, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.