Tarek Hassan Hammad

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30025736 Issued in OH

Practice address

11 Medical Dr
Chillicothe, OH 45601-8603

Phone

(740) 775-8050

NPI assigned

May 7, 2019

Last updated

Jul 22, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tarek Hassan Hammad Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Magnolia Dental

  • General Practice Dentistry
  • Chillicothe, OH
  • NPI 1104134881
  NPD (past)

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1750946588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MEDICAL DR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MEDICAL DR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018603",
            "telephone_number": "740-775-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMAD",
        "first_name": "TAREK",
        "middle_name": "HASSAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-07",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30025736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAREK",
            "last_name": "HAMMAD",
            "middle_name": "HASSAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kerby Ken Hamilton
• Kristal Louise Hamilton, MOT, OTR/L, COTA/L
• Rebecca L Hamilton, LPN
• Rosa Hamilton
• Cynthia G Hamm, M.D.
• Britney A Hamman, NP-C
• Laura Hamman, OD
• Leslie C. Hamman, MSW, LSW
• Cathy Lynne Hammond, LMT
• Cheyianna Hammond, PHARMD

• General Practice Dentistry in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.