Hamza Omar

Primary specialty

DentistTaxonomy code 122300000X

License

1001185-15 Issued in WI

Practice address

4240 S Ravinia Dr
Apt 202
Greenfield, WI 53221-5738

Phone

(414) 377-2563

NPI assigned

Oct 19, 2015

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

Medicare fee-for-service enrollment

Enrolled in WI

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

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1184095028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 S RAVINIA DR",
            "address_2": "APT 202",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532215738",
            "telephone_number": "414-377-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 S RAVINIA DR",
            "address_2": "APT 202",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532215738",
            "telephone_number": "414-377-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMAR",
        "first_name": "HAMZA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001185-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glen Martin O'Malley, D.D.S., S.C.
• Jennifer A O'Neil, RN
• Shaawn Olds
• David Olson, MD
• Omalley Dentistry SC
• Ophthalmology Associates S C
• Bisrat Oqubay
• Oral & Maxillofacial Surgery Consultants of Wisconsin, S.C.
• Melanie J Orlando
• Kathryn Rose Ortin, OTR

• All providers in Greenfield, WI
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.