Hani Elmimeh, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS 036404 Issued in PA

Practice address

5810 Greene St Ste 6
Philadelphia, PA 19144-2761

Phone

(215) 438-1100

Fax

(484) 383-0796

NPI assigned

Dec 8, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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.

• Cosmetic and Family Dentistry

  • Dental Clinic/Center
  • Philadelphia, PA
  • NPI 1386773075
  NPD (past) Authorized official
• D&H Perfect Dental Care P.C.

  • Dental Clinic/Center
  • Philadelphia, PA
  • NPI 1306082375
  NPD (past) Authorized official
• Greene Dentistry P.C.

  • Dental Clinic/Center
  • Philadelphia, PA
  • NPI 1922440718
  NPD (past) Authorized official

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1114086733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 RED LION ROAD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19114",
            "telephone_number": "267-265-1751",
            "fax_number": "484-383-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 GREENE ST STE 6",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442761",
            "telephone_number": "215-438-1100",
            "fax_number": "484-383-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMIMEH",
        "first_name": "HANI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS 036404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101330854",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lily Elman, MS, CGC
• Moemen H Elmasry, D.D.S
• Rana M Elmekadem, PHARMD
• Corey Elmer
• Megan Catherine Elmer
• Hanna Elmongy, MD
• Omar Elnabawi, DMD, MS
• Saadeldeen Elnafe
• Ahmed Elnakeeb
• Eldad Elnekave, MD

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.