Medhat Mohamed Mahmoud Hussein, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12333 Issued in MN

Practice address

13899 Hwy 13 S
Savage, MN 55378-2135

Phone

(952) 440-2292

Fax

(952) 440-2935

NPI assigned

Sep 24, 2007

Last updated

Sep 24, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Medhat Mohamed Hussein Professional name

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Delivery Systems of Maple Grove LLC

  dba Dental Associates of Maple Grove

  • General Practice Dentistry
  • Maple Grove, MN
  • NPI 1760272611
  NPD (past)
• Dental Delivery Systems, PA

  dba Dental Associates of Savage

  • General Practice Dentistry
  • Savage, MN
  • NPI 1003988122
  NPD (past)

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190592000000",
    "number": "1316133275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13899 HWY 13 S",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782135",
            "telephone_number": "952-440-2292",
            "fax_number": "952-440-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13899 HWY 13 S",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782135",
            "telephone_number": "952-440-2292",
            "fax_number": "952-440-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOUD HUSSEIN",
        "first_name": "MEDHAT",
        "middle_name": "MOHAMED",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEDHAT",
            "last_name": "HUSSEIN",
            "middle_name": "MOHAMED",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lindsay Lohse
• Loomans and Associates LLC
• Luxottica of America Inc (Target Optical #2096)
• James Michael Lyons, OD
• Jee Hyun Lyu, DDS
• Sharon Beth Mahowald-Horner, PSYD
• Kristin Eileen Mains, LICSW
• Christina J Manders, D.O.
• Ravi Kiran Mara, DDS
• Kai Taylor Mason, MA, LADC, LPCC

• General Practice Dentistry in Savage, MN
• Providers in Savage, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.