Salah Al Huwais, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2901017128 Issued in MI

Practice address

721 17TH St
Jackson, MI 49203-1409

Phone

(517) 782-3607

Fax

(517) 782-3658

NPI assigned

Mar 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jackson Implants & Periodontics

  • Periodontics
  • Jackson, MI
  • NPI 1306691381
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235262296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 17TH ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492031409",
            "telephone_number": "517-782-3607",
            "fax_number": "517-782-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 17TH ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492031409",
            "telephone_number": "517-782-3607",
            "fax_number": "517-782-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUWAIS",
        "first_name": "SALAH",
        "middle_name": "AL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901017128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sajjad Hussain, MD
• Syed Ahmed Hussain, MD
• Debra Glenn Hutton, PH.D.
• Max Carlton Hutton, MD
• Nina Diane Huver
• Bledi Hysa, MD
• Ekaterina Iausheva, MD
• Joanne Marie Ickes
• Iep - Post Acute Care PLLC
• Iep Observation Medicine - Jackson PLLC

• Periodontics in Jackson, MI
• Providers in Jackson, MI by specialty
• Periodontics in Michigan

• 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.