Individual provider Active NPI

Ousama El-Hillal, DMD, MBA,MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Peoria, AZ
National Provider Identifier
1265511703
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
6125 Issued in AZ
Practice address
8272 W Lake Pleasant Pkwy
Suite #209
Peoria, AZ 85382-7431
Phone
(623) 376-6464
Fax
(623) 376-6480
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 6125 AZ Primary

Addresses

Primary practice location

8272 W Lake Pleasant Pkwy
Suite #209
Peoria, AZ 85382-7431

Mailing address

19777 North 76TH Street
Apt #2185
Scottsdale, AZ 85255
Phone (480) 720-3674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Business Administration, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
O. El Hillal DMD, Ms Dental Corp Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 1

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265511703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19777 NORTH 76TH STREET",
            "address_2": "APT #2185",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85255",
            "telephone_number": "480-720-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8272 W LAKE PLEASANT PKWY",
            "address_2": "SUITE #209",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853827431",
            "telephone_number": "623-376-6464",
            "fax_number": "623-376-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-HILLAL",
        "first_name": "OUSAMA",
        "credential": "DMD, MBA,MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "6125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • 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.