Organization Active NPI

Childrens Mobile Dental Care

  • Pediatric Dentistry
  • Dearborn, MI
National Provider Identifier
1770036477
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
19369 Issued in MI
Legal business name
CHILDRENS MOBILE DENTAL CARE
Practice address
14710 W Warren Ave
Dearborn, MI 48126-1347
Phone
(313) 404-1061
NPI assigned
Jul 28, 2016
Last updated
Jul 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Authorized official

Name
Hassan Oueis, DDS
Title
President
Phone
(313) 404-1061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 19369 MI Primary

Addresses

Primary practice location

14710 W Warren Ave
Dearborn, MI 48126-1347

Mailing address

14710 W Warren Ave
Dearborn, MI 48126-1347
Phone (313) 404-1061

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1770036477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14710 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261347",
            "telephone_number": "313-404-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14710 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261347",
            "telephone_number": "313-404-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS MOBILE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "OUEIS",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-404-1061",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "19369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.