Active NPI
Houssein Harajli, D.D.S.
- Dentist
- Hamtramck, MI
National Provider Identifier
1093967168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901017759
- Practice address
- 12021 Conant St
Hamtramck, MI 48212-2716 - Phone
- (313) 893-7454
- NPI assigned
- Oct 21, 2008
- 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 | 2901017759 | MI | Primary |
Addresses
Primary practice location
12021 Conant St
Hamtramck, MI 48212-2716
Mailing address
12021 Conant St
Hamtramck, MI 48212-2716
Phone (313) 893-7454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124828756 | Medicaid | MI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901017759 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H&S DDS PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224547200000",
"number": "1093967168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12021 CONANT ST",
"city": "HAMTRAMCK",
"state": "MI",
"postal_code": "482122716",
"telephone_number": "313-893-7454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12021 CONANT ST",
"city": "HAMTRAMCK",
"state": "MI",
"postal_code": "482122716",
"telephone_number": "313-893-7454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARAJLI",
"first_name": "HOUSSEIN",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-21",
"last_updated": "2008-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901017759",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124828756",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hamtramck, MI
- Hamtramck Medical Pharmacy LLC (Pharmor Pharmacy-Hamtramck)
- Hamtramck Pediatrics
- Hamtramck PT & Rehab Inc.
- Hamtramck Walk-in Clinic
- Almedina Hantalasevic
- Hares Property Management Co (harris dental)
- Hazami A Hares, DDS
- Rouzana Hares, DDS
- Health and Nutrition LLC
- Health Choice Management Group P.L.L.C. (H C M C)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.