Hijazi Dental Associates LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

30-022069 Issued in OH

Legal business name

HIJAZI DENTAL ASSOCIATES LLC

Doing business as

Happy Teeth Dental

Practice address

4930 W Broad St
Suite 3
Columbus, OH 43228-1696

Phone

(614) 853-4900

Fax

(614) 853-2415

NPI assigned

Oct 21, 2014

Organization subpart

No

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

Authorized official

Name

Osama Hijazi, DDSNPI 1013094598

Title

Owner

Phone

(214) 334-5797

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Happy Teeth Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Osama A Hijazi, DDS

  • General Practice Dentistry
  • Columbus, OH
  • NPI 1013094598
  NPD (past) Authorized official

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1447654355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4880 WELLSPRING CT",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430167842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 W BROAD ST",
            "address_2": "SUITE 3",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281696",
            "telephone_number": "614-853-4900",
            "fax_number": "614-853-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIJAZI DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "HIJAZI",
        "authorized_official_first_name": "OSAMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-334-5797",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "30-022069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2538203",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Happy Teeth Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tashia Lynette Hightower, LPN
• Tia Hightower, RN.396063
• Highview Wellness Center
• Suzan Hih
• Celine Hijazeen
• Adel Eddie Hijazi, MD
• Osama A Hijazi, DDS
• Annette P Hilaman, DDS
• Belinda Hildebrandt, LISW, PMH-C
• Cailin Michelle Hildebrandt, CPNP-PC

• Dental Clinic/Center in Columbus, OH
• Providers in Columbus, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.