Individual provider Active NPI

Nadia F Hamouda, DDS PHD

  • General Practice Dentistry
  • Ann Arbor, MI
National Provider Identifier
1710075460
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
290101 6871 Issued in MI
Practice address
203 S Zeeb Rd
White Pearl Dentistry Suite 201
Ann Arbor, MI 48103
Phone
(734) 222-0055
Fax
(734) 222-0050
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 290101 6871 MI Primary

Addresses

Primary practice location

203 S Zeeb Rd
White Pearl Dentistry Suite 201
Ann Arbor, MI 48103

Mailing address

203 S Zeeb Rd
Suite 201
Ann Arbor, MI 48103
Phone (734) 222-0055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170117000262 MI Order and Referring Only - DentistPractitioner - Dentist 6507148137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
290101 6871MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
White Pearl Dentistry LLC General Practice CurrentSince Sep 5, 2023 Accepting new patients

Locations

203 S Zeeb Rd
Ste 201
Ann Arbor, MI 48103
Phone (734) 222-0055

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710075460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S ZEEB RD",
            "address_2": "SUITE 201",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48103",
            "telephone_number": "734-222-0055",
            "fax_number": "734-222-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S ZEEB RD",
            "address_2": "WHITE PEARL DENTISTRY SUITE 201",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48103",
            "telephone_number": "734-222-0055",
            "fax_number": "734-222-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMOUDA",
        "first_name": "NADIA",
        "middle_name": "F",
        "credential": "DDS PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "290101 6871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.