Omid Hadj, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

6001965-15 Issued in WI

Practice address

2323 N Mayfair Rd Ste 102
Wauwatosa, WI 53226-1506

Phone

(414) 257-1161

NPI assigned

Mar 21, 2022

Sex

Male

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 IL

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

Practice roles

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.

• Milwaukee Oral Surgery & Implants LTD

  • Oral and Maxillofacial Surgery (Dentist)
  • Milwaukee, WI
  • NPI 1972550234
  NPD (past)

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1356090039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 N MAYFAIR RD STE 102",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261506",
            "telephone_number": "414-257-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 N MAYFAIR RD STE 102",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261506",
            "telephone_number": "414-257-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADJ",
        "first_name": "OMID",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-21",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "6001965-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karyn Lynne Gust-Brey, PH.D.
• Kristin Margaret Gustavson, PA-C
• Angela Louise Guzzardo, CNM
• H Seid Ashraf
• Jana M Hach, LCSW
• Abdul Hafeez, MD
• Demi Elisabeth Hagen, PA-C
• Kyle Jay Hagen, PA-C
• Linda Hagen, MS, ATR-BC
• Adam Lee Haggerty, LPC-IT

• Oral and Maxillofacial Surgery (Dentist) in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.