Samia A Hardan, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DS038760 Issued in PA

Practice address

533 Annadale Dr
Berwyn, PA 19312-1974

Phone

(610) 731-8858

NPI assigned

Jul 25, 2011

Sex

Female

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

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.

Opted out of Medicare

Yes, effective Mar 8, 2016 through Mar 8, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• S. Hardan Periodontics & Dental Implants

  • Periodontics
  • West Chester, PA
  • NPI 1386516730
  NPD Authorized official

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1265710248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 ANNADALE DR",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121974",
            "telephone_number": "610-731-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 ANNADALE DR",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121974",
            "telephone_number": "610-731-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDAN",
        "first_name": "SAMIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS038760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie L. Guay, PSY.D., ABPP
• Humberto Guerra-Garcia, M.D.
• Jacqueline Halpern, PSYD
• Maureen Hamilton, LPC
• Happy Seniors Homecare LLC
• Lindsay Harre, M.S., CCC-SLP
• Hart/Ross Associates
• Healing Arts Professional Consulting, LLC
• Matthew D Heintzelman, PT, DPT
• Helping Hands Senior Care, Inc

• Periodontics in Berwyn, PA
• Providers in Berwyn, PA by specialty
• Periodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.