Eiad H Haddad, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44888 Issued in CA

Practice address

10225 Austin Dr Ste 205
Spring Valley, CA 91978-1522

Phone

(619) 660-6633

Fax

(619) 660-6721

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Eiad Haddad DDS Inc

  • Dentist
  • Spring Valley, CA
  • NPI 1851565659
  NPD (past) Authorized official

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437239365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10225 AUSTIN DR STE 205",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919781522",
            "telephone_number": "619-660-6633",
            "fax_number": "619-660-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 AUSTIN DR STE 205",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919781522",
            "telephone_number": "619-660-6633",
            "fax_number": "619-660-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "EIAD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "B4488801",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCODIA",
            "identifier": "979972",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Green, CCHT
• Alexander Forrest Greer
• Ayaka Gresham
• Maha Mohammad Bilal Griffin, LCSW
• Christan Guerrero, LMFT
• Haji Noor Hajiali
• Ayzha Hampton
• Hanna Interpreting Services LLC
• Hannahealth Group, LLC
• Zachary Hannigan

• General Practice Dentistry in Spring Valley, CA
• Providers in Spring Valley, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.