Rouzana Hares, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901017672 Issued in MI

Practice address

8721 Joseph Campau St
Hamtramck, MI 48212-3720

Phone

(313) 871-2222

Fax

(313) 871-2084

NPI assigned

Sep 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rouzana.hares.1@16555.direct.athenahealth.com

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.

• Great Smile Dental Group PC

  dba Harris Dental

  • General Practice Dentistry
  • Hamtramck, MI
  • NPI 1598253015
  NPD Authorized official

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346331220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8721 JOSEPH CAMPAU ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123720",
            "telephone_number": "313-871-2222",
            "fax_number": "313-871-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8721 JOSEPH CAMPAU ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123720",
            "telephone_number": "313-871-2222",
            "fax_number": "313-871-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARES",
        "first_name": "ROUZANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4315634",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1408419",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hamtramck Walk-in Clinic
• Almedina Hantalasevic
• Houssein Harajli, D.D.S.
• Hares Property Management Co (harris dental)
• Hazami A Hares, DDS
• Health and Nutrition LLC
• Health Choice Management Group P.L.L.C. (H C M C)
• Health MTM Inc (Caniff Pharmacy)
• Heart Care Associates PLLC
• Heritage Health Care Systems, Inc

• General Practice Dentistry in Hamtramck, MI
• Providers in Hamtramck, 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 Jul 8, 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.