Active NPI
Hassan M Yehia, D.D.S., M.S
- Dentist
- Royal Oak, MI
National Provider Identifier
1710325493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901020965
- Practice address
- 1206 S Washington Ave
Royal Oak, MI 48067 - Phone
- (248) 900-3020
- NPI assigned
- Jun 4, 2013
- Last updated
- Aug 1, 2023
- 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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161206000092 | MI | Order and Referring Only - Dentist | 1153601364 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901020965 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endodontic Center PLLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.