Hatem Hussein Elmissir, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS109929 Issued in CA

Practice address

1005 Commack Rd
Dix Hills, NY 11746

Phone

(631) 254-8240

Fax

(631) 254-8214

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

State licenses

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.

• R.M. Dental P.C.

  • Dentist
  • Dix Hills, NY
  • NPI 1487800421
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1437299922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 COMMACK RD",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "11746",
            "telephone_number": "631-254-8240",
            "fax_number": "631-254-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 COMMACK RD",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "11746",
            "telephone_number": "631-254-8240",
            "fax_number": "631-254-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMISSIR",
        "first_name": "HATEM",
        "middle_name": "HUSSEIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "0517781",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS109929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02630308",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eg Imaging Inc
• Richard Ehrlich, D.D.S.
• Lyle Eisenberg, RPH
• Elemam Physician PC
• Deborah Lynn Elkis-Abuhoff, PH.D., ATR-BC, LCAT
• Em-Sapa
• Empire Medical Supplies and Services
• Empite Tele-Psychotherapy LCSW PLLC
• Chantal Fong Espert
• Ettinger Medical Services PLLC

• General Practice Dentistry in Dix Hills, NY
• Providers in Dix Hills, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.