Andre H. Haerian, DDS, MS, FRCD, PHD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

30020217 Issued in OH

Practice address

6407 Monroe Street
Sylvania, OH 43560

Phone

(419) 882-1017

Fax

(419) 882-7571

NPI assigned

Mar 27, 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 names 1

• Hamed A. Haerian Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Doctor of Philosophy

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.

• Sylvania Orthodontics, Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sylvania, OH
  • NPI 1306828215
  NPD (past) Authorized official

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1700905403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6407 MONROE STREET",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "43560",
            "telephone_number": "419-882-1017",
            "fax_number": "419-882-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6407 MONROE STREET",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "43560",
            "telephone_number": "419-882-1017",
            "fax_number": "419-882-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAERIAN",
        "first_name": "ANDRE",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "DDS, MS, FRCD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30020217",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "16705",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAMED",
            "last_name": "HAERIAN",
            "middle_name": "A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Guardian Angel Home Care, Inc.
• Guardian Angels Home Health Care, Inc.
• Kenasia Guilford
• Deborah Guntsch, MD
• Sharon Marie Gutman, MNT
• Austin Lee Hagemann I, LPTA
• Nasser Hajar, M.D.
• Mohsen Halaby, MD
• Fatma Hamdan
• Mandy Hamilton

• Orthodontics and Dentofacial Orthopedics Dentistry in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.