Individual provider Active NPI

Hassan M Yehia, D.D.S., M.S

  • Dentist
  • Royal Oak, MI
National Provider Identifier
1710325493
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901020965 Issued in MI
Practice address
1206 S Washington Ave
Royal Oak, MI 48067
Phone
(248) 900-3020
NPI assigned
Jun 4, 2013
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901020965 MI Primary

Addresses

Primary practice location

1206 S Washington Ave
Royal Oak, MI 48067

Mailing address

24859 Winona St
Dearborn, MI 48124
Phone (313) 333-3768

Other practice location 1

38110 Michigan Ave
Wayne, MI 48184-2842
Phone (313) 333-3768

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
I20161206000092 MI Order and Referring Only - DentistPractitioner - Dentist 1153601364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2901020965MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Endodontic Center PLLC CurrentSince Nov 26, 2023 Accepting new patients

Locations

1206 S Washington Ave
Royal Oak, MI 48067
Phone (248) 399-8600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1710325493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24859 WINONA ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124",
            "telephone_number": "313-333-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 S WASHINGTON AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "48067",
            "telephone_number": "248-900-3020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38110 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "MI",
            "postal_code": "481842842",
            "country_code": "US",
            "telephone_number": "313-333-3768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEHIA",
        "first_name": "HASSAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-04",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.