Individual provider Active NPI

Hassan Sami Oueis, DDS

  • Pediatric Dentistry
  • Dearborn, MI
National Provider Identifier
1386813244
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2901019369 Issued in MI
Practice address
13519 Michigan Ave
Dearborn, MI 48126-3510
Phone
(313) 633-9318
Fax
(313) 633-9374
NPI assigned
Feb 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X L1237960 MI
Pediatric Dentistry 1223P0221X 2901019369 MI Primary

Addresses

Primary practice location

13519 Michigan Ave
Dearborn, MI 48126-3510

Mailing address

13519 Michigan Ave
Dearborn, MI 48126-3510
Phone (313) 633-9318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L1237960MIMDDentist
2901019369MIMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Anesthesia Associates, PC CurrentSince Apr 15, 2023 Accepting new patients
Childrens Dental Care of Detroit Pediatric Dentistry Current Accepting new patients
Riverview Pediatric Dental Care PC Pediatric Dentistry Current Accepting new patients
Royal Oak Surgical Center, LLC Past Accepting new patients

Locations

13519 Michigan Ave
Dearborn, MI 48126
Phone (313) 633-9318

Interoperability endpoints

  • Direct secure messaging: houeis@direct.dmc.org

Organizations & group practices 4

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": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1386813244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13519 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263510",
            "telephone_number": "313-633-9318",
            "fax_number": "313-633-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13519 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263510",
            "telephone_number": "313-633-9318",
            "fax_number": "313-633-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUEIS",
        "first_name": "HASSAN",
        "middle_name": "SAMI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-25",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "L1237960",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "2901019369",
            "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 Jan 5, 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.