Organization Active NPI

Ronny Hourani DDS PLLC

  • General Practice Dentistry
  • Tecumseh, MI
National Provider Identifier
1467708321
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19353 Issued in MI
Legal business name
RONNY HOURANI DDS PLLC
Practice address
101 Brown St
Tecumseh, MI 49286-1102
Phone
(517) 423-4380
Fax
(517) 423-1306
NPI assigned
Jul 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Authorized official

Name
Deborah Ann Corbin
Title
Office MGR
Phone
(517) 423-4380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 19353 MI Primary

Addresses

Primary practice location

101 Brown St
Tecumseh, MI 49286-1102

Mailing address

101 Brown St
Tecumseh, MI 49286-1102
Phone (517) 423-4380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121003000020 MI Part B Supplier - Clinic/Group Practice 4284883539 Receives reassigned benefits from 1 practitioner
Practice locations: Tecumseh, MI

National Provider Directory

National Provider Directory

Locations

101 Brown St
Tecumseh, MI 49286
Phone (517) 423-4380

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1467708321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BROWN ST",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492861102",
            "telephone_number": "517-423-4380",
            "fax_number": "517-423-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BROWN ST",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492861102",
            "telephone_number": "517-423-4380",
            "fax_number": "517-423-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONNY HOURANI DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "CORBIN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "517-423-4380"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "19353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tecumseh, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.