Individual provider Active NPI

Malaak Hamadeh, DDS

  • General Practice Dentistry
  • Dearborn, MI
National Provider Identifier
1801589049
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901601817 Issued in MI
Practice address
18590 Outer Dr
Dearborn, MI 48128-1872
Phone
(313) 406-9612
NPI assigned
Jun 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901601817 MI Primary

Addresses

Primary practice location

18590 Outer Dr
Dearborn, MI 48128-1872

Mailing address

6051 Whitefield St
Dearborn Heights, MI 48127-4814
Phone (313) 399-6488

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
2901601817MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Zenith Dental Care, PLLC CurrentSince Jun 4, 2023 Accepting new patients

Locations

18590 Outer Dr
Dearborn, MI 48128
Phone (313) 406-9612

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1801589049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 WHITEFIELD ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481274814",
            "telephone_number": "313-399-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18590 OUTER DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281872",
            "telephone_number": "313-406-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMADEH",
        "first_name": "MALAAK",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901601817",
            "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 Jun 1, 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.