Individual provider Active NPI

Hussein Ali Abdulhus Al-Wakeel, DDS, MSC.

  • Dentist
  • San Francisco, CA
National Provider Identifier
1750090254
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
SP305 Issued in CA
Practice address
155 5TH St
San Francisco, CA 94103-2919
Phone
(415) 351-7178
NPI assigned
Nov 23, 2022
Last updated
Feb 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2022022192 MO
Dentist 122300000X SP305 CA Primary

Addresses

Primary practice location

155 5TH St
San Francisco, CA 94103-2919

Mailing address

6399 Christie Ave Apt 202
Emeryville, CA 94608-1389
Phone (660) 229-1667

Other practice location 1

800 W Jefferson St
Kirksville, MO 63501-1443
Phone (660) 626-2997

Other names 1

  • Dr. Hussein Al-Wakeel Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SP305CAMDDentist
2022022192MOMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1750090254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6399 CHRISTIE AVE APT 202",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081389",
            "telephone_number": "660-229-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 5TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032919",
            "telephone_number": "415-351-7178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 W Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "635011443",
            "country_code": "US",
            "telephone_number": "660-626-2997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL-WAKEEL",
        "first_name": "HUSSEIN ALI ABDULHUS",
        "name_prefix": "Dr.",
        "credential": "DDS, MSC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2022022192",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "SP305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HUSSEIN",
            "last_name": "AL-WAKEEL",
            "prefix": "DR.",
            "credential": "DDS, MSC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.