Hazim Dental Clinic PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7022 Issued in OR

Legal business name

HAZIM DENTAL CLINIC PC

Practice address

12661 SE Powell Blvd
Suite E
Portland, OR 97236-3400

Phone

(503) 761-1120

Fax

(503) 774-2622

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ziad Antonious Hazim, D.D.S.

Title

President

Phone

(503) 761-1120

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609968007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90813",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972900813",
            "telephone_number": "503-761-1120",
            "fax_number": "503-774-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12661 SE POWELL BLVD",
            "address_2": "SUITE E",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972363400",
            "telephone_number": "503-761-1120",
            "fax_number": "503-774-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZIM DENTAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAZIM",
        "authorized_official_first_name": "ZIAD",
        "authorized_official_middle_name": "ANTONIOUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-761-1120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Raleigh Hazel
• Hazelwood Counseling LLC
• Hazelwood House
• Malia Hazen, PHARMD
• Rachelle Hazen
• Ziad Hazim, DDS
• Elizabeth A Hazzard, MACOM
• HCP Esl Portland Or Opco LLC
• HD Industries, LLC
• Hannah Heacock, LMT

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.