Hassan Abdulwahid, D.D.S
Individual provider Active NPI Dentist · Muskegon, MI
NPI 1295095008 · NPPES record last updated May 26, 2012
Key facts
- NPI
- 1295095008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2901020654 (MI)
- Practice address
- 1725 E Sherman Blvd
Muskegon, MI 49444-1862 - Phone
- (313) 463-1801
- NPI assigned
- May 26, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160201001240 | MI | Order and Referring Only - Dentist |
1153640560 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apexx Dental | Current | Accepting new patients | |
| Pro Dental Mi 1 PC | Past |
Accepting new patients | |
| D2 Dental of Michigan, P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901020654 | MI | Yes |
Addresses
Primary practice location
1725 E Sherman Blvd
Muskegon, MI 49444-1862
Mailing address
430 W Erie St
Ste 200
Chicago, IL 60654-6914
Phone (313) 463-1801
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.