Organization Active NPI

Khadije Hussein DDS PLLC

  • Dentist
  • Dearborn, MI
National Provider Identifier
1366024382
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KHADIJE HUSSEIN DDS PLLC
Practice address
6600 Schaefer Rd
Dearborn, MI 48126-4502
Phone
(313) 581-7979
Fax
(313) 581-7978
NPI assigned
Apr 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Authorized official

Name
Roula Saad
Title
Manager
Phone
(313) 581-7979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

6600 Schaefer Rd
Dearborn, MI 48126-4502

Mailing address

6600 Schaefer Rd
Dearborn, MI 48126-4502
Phone (313) 581-7979

National Provider Directory

National Provider Directory

Locations

6600 Schaefer Rd
Dearborn, MI 48126
Phone (313) 581-7979

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1366024382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264502",
            "telephone_number": "313-581-7979",
            "fax_number": "313-581-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264502",
            "telephone_number": "313-581-7979",
            "fax_number": "313-581-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHADIJE HUSSEIN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "SAAD",
        "authorized_official_first_name": "ROULA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "313-581-7979"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.