Active NPI
Sakher Hegazin
- Dentist
- Redlands, CA
National Provider Identifier
1699111971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 28833
- Practice address
- 10650 Mountain View Ave
Apt #403
Redlands, CA 92373-8493 - Phone
- (773) 574-0942
- NPI assigned
- May 14, 2013
- Last updated
- May 14, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 28833 | TX | Primary |
Addresses
Primary practice location
10650 Mountain View Ave
Apt #403
Redlands, CA 92373-8493
Mailing address
10650 Mountain View Ave
Apt #403
Redlands, CA 92373-8493
Phone (773) 574-0942
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160108001503 | TX | Order and Referring Only - Dentist | 6406158369 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28833 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368489600000",
"number": "1699111971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10650 MOUNTAIN VIEW AVE",
"address_2": "APT #403",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923738493",
"telephone_number": "773-574-0942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10650 MOUNTAIN VIEW AVE",
"address_2": "APT #403",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923738493",
"telephone_number": "773-574-0942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEGAZIN",
"first_name": "SAKHER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-14",
"last_updated": "2013-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "28833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redlands, CA
- Health Diagnostics of California a Professional Corporation
- Health Diagnostics of California a Professional Corporation
- Michelene Hearth-Holmes, M.D.
- Heather D West M.D., Inc
- Grace Marie Hecker, MD
- Leann Heilman
- Bruce Scott Heinrich, D.D.S., M.S.
- Tannya Heinz
- Lois Heischober, MSN, RN, IBCLC
- Mina Hekmat, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.