Kereem Husain Dental Corporation

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

KEREEM HUSAIN DENTAL CORPORATION

Practice address

8121 E Wardlow Rd
Long Beach, CA 90808-3204

Phone

(424) 226-2733

NPI assigned

Apr 28, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Kereem Hamza Husain, DDSNPI 1750728937

Title

Ceo

Phone

(424) 226-2273

Specialties & licenses 1

Addresses

Other names 1

• High Five Pediatric Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kereem Hamza Husain, D.D.S

  • Pediatric Dentistry
  • Long Beach, CA
  • NPI 1750728937
  NPD Authorized official

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1306534193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8121 E WARDLOW RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908083204",
            "telephone_number": "424-226-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8121 E WARDLOW RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908083204",
            "telephone_number": "424-226-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEREEM HUSAIN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "HUSAIN",
        "authorized_official_first_name": "KEREEM",
        "authorized_official_middle_name": "HAMZA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-226-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Five Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kent H Azaren MD Inc
• Tracey Kent
• Travis Kent
• Samuel Navy Keo, PSY.D.
• Seihadanyzeth Keo
• Erik G. Kerekes, M.D.
• David N Kerner, PH.D.
• Linda S Kerr, NP
• Jaklen Keshishyan
• Maria Kesler, ASW, CADC II

• Pediatric Dentistry in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.