Individual provider Active NPI

Dina Mamdouh Hussein, DMD

  • Dentist
  • La Porte, IN
National Provider Identifier
1386538312
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12014722A Issued in IN
Practice address
400 Teegarden St
La Porte, IN 46350-3175
Phone
(219) 326-8909
NPI assigned
Jun 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12014722A IN Primary

Addresses

Primary practice location

400 Teegarden St
La Porte, IN 46350-3175

Mailing address

400 Teegarden St
La Porte, IN 46350-3175
Phone (219) 678-0175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20250714001975 IN Practitioner - Dentist 1759896384 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthlinc, Inc CurrentSince Jul 14, 2025 Accepting new patients
Healthlinc, Inc. Current Accepting new patients
Healthlinc, Inc CurrentSince Jul 14, 2025 Accepting new patients

Locations

400 Teegarden St
Laporte, IN 46350
Phone (219) 326-0043

1001 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-7173

2401 Valley Dr
Valparaiso, IN 46383
Phone (219) 413-5100

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1386538312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TEEGARDEN ST",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503175",
            "telephone_number": "219-678-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TEEGARDEN ST",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503175",
            "telephone_number": "219-326-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSEIN",
        "first_name": "DINA",
        "middle_name": "MAMDOUH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12014722A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

Verify at the official NPI Registry.