Active NPI
Hassan Sami Oueis, DDS
- Pediatric Dentistry
- Dearborn, MI
National Provider Identifier
1386813244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 2901019369
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| L1237960 | MI | MD | Dentist |
| 2901019369 | MI | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Anesthesia Associates, PC | Current | 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
- 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.
-
- Pediatric Dentistry
- Detroit, MI
- NPI 1104482439
-
- Pediatric Dentistry
- Riverview, MI
- NPI 1922696939
-
- Ambulatory Surgical Clinic/Center
- Royal Oak, MI
- NPI 1073818654
-
- Anesthesiology Physician
- Detroit, MI
- NPI 1427093863
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.