Jennifer Eva Haddad, MS, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

62491 Issued in CA

Practice address

1950 Sawtelle Blvd Ste 100
Los Angeles, CA 90025-7074

Phone

(310) 312-0882

Fax

(310) 312-0290

NPI assigned

Jun 28, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Abdolreza Sameni DDS a Professional Corporation

  dba WLA Dental Center

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1487711388
  NPD (past)
• Bonita C. Hornstein, D.D.S.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1275964777
  NPD (past)

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1760822266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2267 CALLE BELICIA",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917734464",
            "telephone_number": "626-523-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SAWTELLE BLVD STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257074",
            "telephone_number": "310-312-0882",
            "fax_number": "310-312-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "JENNIFER",
        "middle_name": "EVA",
        "credential": "MS, DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Carolyn Hadaway
• Joseph Elias Hadaya, M.D.
• Serene Hadaya, MD
• Ashley Eve Haddad
• Christina Jawad Haddad, PHARMD
• Kelsey N Haddad
• Kennedy E Haddad
• Riham Khaled Haddad
• Sarah Haddad, BCO, BADO
• Soumar Haddad

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.