Individual provider Active NPI

Ronny Hourani, DDS

  • General Practice Dentistry
  • Tecumseh, MI
National Provider Identifier
1720010812
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901019353 Issued in MI
Practice address
101 Brown St
Tecumseh, MI 49286-1102
Phone
(517) 423-4380
Fax
(517) 423-1306
NPI assigned
Jul 7, 2006
Last updated
Mar 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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 2901019353 MI Primary

Addresses

Primary practice location

101 Brown St
Tecumseh, MI 49286-1102

Mailing address

101 Brown St
Tecumseh, MI 49286-1102
Phone (517) 423-4380

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
I20080628000095 MI Practitioner - Oral Surgery 6406928951 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ronny Hourani DDS PLLC General Practice CurrentSince Jun 5, 2006 Accepting new patients
Oral and Maxillofacial Surgery Associates of Michigan, P.C. Past Accepting new patients
Contemporary Dentistry & Implantology, P.C. Past Accepting new patients

Locations

101 Brown St
Tecumseh, MI 49286
Phone (517) 423-4380

Organizations & group practices 3

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1720010812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BROWN ST",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492861102",
            "telephone_number": "517-423-4380",
            "fax_number": "517-423-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BROWN ST",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492861102",
            "telephone_number": "517-423-4380",
            "fax_number": "517-423-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOURANI",
        "first_name": "RONNY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tecumseh, MI

Sources for this page

Verify at the official NPI Registry.