Organization Active NPI

Hawatmeh Dental Group PC

  • General Practice Dentistry
  • Brea, CA
National Provider Identifier
1225438922
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49108 Issued in CA
Legal business name
HAWATMEH DENTAL GROUP PC
Practice address
391 W Central Ave
Brea, CA 92821-3025
Phone
(714) 987-6916
Fax
(714) 987-6920
NPI assigned
Aug 29, 2014
Last updated
Dec 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Authorized official

Name
Dr. Ayed Jamil Hawatmeh, DDS
Title
Dentist
Phone
(714) 987-6916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 49108 CA Primary

Addresses

Primary practice location

391 W Central Ave
Brea, CA 92821-3025

Mailing address

391 W Central Ave
Brea, CA 92821-3025
Phone (714) 987-6916

National Provider Directory

National Provider Directory

Locations

1035 W Ramsey St
Ste B
Banning, CA 92220
Phone (951) 922-2322

1300 E Florida Ave
Ste A
Hemet, CA 92544
Phone (951) 765-5544

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1225438922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 W CENTRAL AVE",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213025",
            "telephone_number": "714-987-6916",
            "fax_number": "714-987-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 W CENTRAL AVE",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213025",
            "telephone_number": "714-987-6916",
            "fax_number": "714-987-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWATMEH DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "HAWATMEH",
        "authorized_official_first_name": "AYED",
        "authorized_official_middle_name": "JAMIL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-987-6916",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.