Active NPI
Hussam Mohammed Alqahtanl, BDS
- Student in an Organized Health Care Education/Training Program
- Cleveland, OH
National Provider Identifier
1396290342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- RES 3661
- Practice address
- 2124 Cornell Rd
Cleveland, OH 44106 - Phone
- (216) 368-3200
- NPI assigned
- Aug 19, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | RES 3661 | OH | Primary |
Addresses
Primary practice location
2124 Cornell Rd
Cleveland, OH 44106
Mailing address
30 Severance Cir Apt 601
Cleveland Heights, OH 44118
Phone (216) 315-7283
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471564800000",
"number": "1396290342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 SEVERANCE CIR APT 601",
"city": "CLEVELAND HEIGHTS",
"state": "OH",
"postal_code": "44118",
"telephone_number": "216-315-7283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2124 CORNELL RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44106",
"telephone_number": "216-368-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALQAHTANL",
"first_name": "HUSSAM",
"middle_name": "MOHAMMED",
"name_prefix": "Mr.",
"credential": "BDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-19",
"last_updated": "2016-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "RES 3661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.