Individual provider Active NPI

Catherine El Hadi, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Dearborn Heights, MI
National Provider Identifier
1245993336
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2901601081 Issued in MI
Practice address
25720 Graceland Cir
Dearborn Heights, MI 48125-1070
Phone
(313) 478-4783
NPI assigned
Oct 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901601081 MI
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2901601081 MI Primary

Addresses

Primary practice location

25720 Graceland Cir
Dearborn Heights, MI 48125-1070

Mailing address

25720 Graceland Cir
Dearborn Heights, MI 48125-1070
Phone (313) 478-4783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20240815003079 MI Practitioner - Oral Surgery 2264970615 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901601081MIMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Fortson Family Dentistry, P.C. CurrentSince Jun 8, 2024 Accepting new patients
Raymond a Fortson Jr & Associates DDS PC Dentist PastSince Jun 8, 2024 Accepting new patients

Locations

27347 Southfield Rd
Lathrup Village, MI 48076
Phone (248) 557-8120

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1245993336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25720 GRACELAND CIR",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481251070",
            "telephone_number": "313-478-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25720 GRACELAND CIR",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481251070",
            "telephone_number": "313-478-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL HADI",
        "first_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601081",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901601081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

Verify at the official NPI Registry.