Hadi Nouredine DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HADI NOUREDINE DMD

Practice address

8070 SW Hall Blvd
Suite 200
Beaverton, OR 97008-6419

Phone

(503) 644-1110

Fax

(503) 641-6431

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Kati Marecek

Title

Office Manager

Phone

(503) 644-1110

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Family Dental Care Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jasmine Elaine Ahrar, DMD

  • General Practice Dentistry
  • Beaverton, OR
  • NPI 1619657913
  NPD (past)
• Michele Marie Chaer, RDH

  • Dental Hygienist
  • Lake Oswego, OR
  • NPI 1407721806
  NPD (past)
• John Neil Della Croce, DMD, MS

  • Dentist
  • Beaverton, OR
  • NPI 1528377546

  General Practice

  NPD (past)
• Dennis Gene Perala, DMD

  • Periodontics
  • Beaverton, OR
  • NPI 1174668156
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1164519708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8070 SW HALL BLVD",
            "address_2": "SUITE 200",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970086419",
            "telephone_number": "503-644-1110",
            "fax_number": "503-641-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8070 SW HALL BLVD",
            "address_2": "SUITE 200",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970086419",
            "telephone_number": "503-644-1110",
            "fax_number": "503-641-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADI NOUREDINE DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "MARECEK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "KATI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-644-1110",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE OF MEDICAL ASS",
            "identifier": "010640",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278353",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "768520",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Myrka Guzman, MA
• Tatiana Guzman
• Paul Gylling, RT
• Benjamin Davis Hackett, M.D.
• Mary Hacopian, PSY.D.
• Rene Hadley
• McKenzie Haenke, LCSW
• Tori Haerter
• Haley Hager, CCC-SLP
• Morgan Rose Hagfors, OTD

• General Practice Dentistry in Beaverton, OR
• Providers in Beaverton, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.