Yaman Al-Hadidi II, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1223G0001 Issued in OH

Practice address

3717 Wards Point Dr
Orchard Lake, MI 48324-1662

Phone

(248) 687-9347

NPI assigned

Apr 23, 2012

Last updated

Apr 23, 2012By the provider in NPPES

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

Enrolled in MI

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

State licenses

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1316205750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 WARDS POINT DR",
            "city": "ORCHARD LAKE",
            "state": "MI",
            "postal_code": "483241662",
            "telephone_number": "248-687-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 WARDS POINT DR",
            "city": "ORCHARD LAKE",
            "state": "MI",
            "postal_code": "483241662",
            "telephone_number": "248-687-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-HADIDI",
        "first_name": "YAMAN",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "1223G0001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Life at Home LLC. (Comfort Keepers #756)
• Yasmin Al-Zoubaidy, DMD, ENDODONTIST
• Christina Azar, PHARMD
• Elsi Maria Baccari, D.O.
• David Richard Backus, DDS
• Mary Ellen Bardyga, OT

• General Practice Dentistry in Orchard Lake, MI
• Providers in Orchard Lake, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.