Organization Active NPI

Nidal Hammoud DDS. PLLC

  • General Practice Dentistry
  • Dearborn, MI
National Provider Identifier
1790228799
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NIDAL HAMMOUD DDS. PLLC
Practice address
6150 Greenfield Rd Ste 100
Dearborn, MI 48126-6003
Phone
(313) 254-2141
NPI assigned
Nov 22, 2016
Last updated
Nov 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Authorized official

Name
Dr. Nidal Hammoud, DDS
Title
Dentist
Phone
(313) 485-3418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

6150 Greenfield Rd Ste 100
Dearborn, MI 48126-6003

Mailing address

6150 Greenfield Rd Ste 100
Dearborn, MI 48126-6003
Phone (313) 254-2141

National Provider Directory

National Provider Directory

Locations

6150 Greenfield Rd
Ste 100
Dearborn, MI 48126
Phone (313) 254-2141

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1790228799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 GREENFIELD RD STE 100",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481266003",
            "telephone_number": "313-254-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 GREENFIELD RD STE 100",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481266003",
            "telephone_number": "313-254-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIDAL HAMMOUD DDS. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "HAMMOUD",
        "authorized_official_first_name": "NIDAL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "313-485-3418",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "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 Nov 22, 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.