Hadi Nouredine, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6685 Issued in OR

Practice address

9 Monroe Pkwy Ste C
Lake Oswego, OR 97035-8855

Phone

(503) 635-3431

Fax

(503) 635-2306

NPI assigned

Jul 22, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Oswego Dental Associates

  • General Practice Dentistry
  • Lake Oswego, OR
  • NPI 1649293663
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235150459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MONROE PKWY STE C",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358855",
            "telephone_number": "503-635-3431",
            "fax_number": "503-635-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MONROE PKWY STE C",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358855",
            "telephone_number": "503-635-3431",
            "fax_number": "503-635-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOUREDINE",
        "first_name": "HADI",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amarkaur Northrup, LAC.
• Northwest Endocrinology, LLC
• Northwest Medical Clinic PC
• Northwest Mobility LLC
• Northwest Surgical Specialists PC
• Kellie Anne Nunn, MSW, LCSW
• Nutrition for Autoimmunity, LLC
• Bradley A Nymeyer, LAC, LMT
• Samantha O'Brien, L.AC., LMT
• Kailey O'Connor

• General Practice Dentistry in Lake Oswego, OR
• Providers in Lake Oswego, 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 8, 2007; 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.