Organization Active NPI

Nadim K Haddad DDS PC

  • Dental Clinic/Center
  • Sterling HTS, MI
National Provider Identifier
1114646890
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NADIM K HADDAD DDS PC
Practice address
39150 Dequindre Rd Ste 400
Sterling HTS, MI 48310-6975
Phone
(248) 930-1057
NPI assigned
Aug 25, 2022
Last updated
Aug 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Authorized official

Name
Dr. Nadim K Haddad, DDSNPI 1710016027
Title
Dentist Owner
Phone
(248) 930-1057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

39150 Dequindre Rd Ste 400
Sterling HTS, MI 48310-6975

Mailing address

39150 Dequindre Rd Ste 400
Sterling HTS, MI 48310-6975
Phone (248) 930-1057

National Provider Directory

National Provider Directory

Locations

39150 Dequindre Rd
Ste 400
Sterling Hts, MI 48310
Phone (248) 680-2125

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1114646890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39150 DEQUINDRE RD STE 400",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483106975",
            "telephone_number": "248-930-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39150 DEQUINDRE RD STE 400",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483106975",
            "telephone_number": "248-930-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADIM K HADDAD DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "NADIM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "248-930-1057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling HTS, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.