Organization Active NPI

Hani Ahdab DDS, LLC

Doing business as Lafayette Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lafayette, IN
National Provider Identifier
1821534967
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
12012631A Issued in IN
Legal business name
HANI AHDAB DDS, LLC
Doing business as
Lafayette Orthodontics
Practice address
1209 Winthrop Ave
Lafayette, IN 47909-2420
Phone
(765) 477-7722
NPI assigned
Jan 12, 2017
Last updated
Jan 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Authorized official

Name
Dr. Hani Ahdab, DDS, MSNPI 1841608197
Title
President
Phone
(949) 280-9609

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 12012631A IN Primary

Addresses

Primary practice location

1209 Winthrop Ave
Lafayette, IN 47909-2420

Mailing address

328 Stonehedge Dr
Carmel, IN 46032-1274

Other names 1

  • Lafayette Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1209 Winthrop Ave
Lafayette, IN 47909
Phone (765) 477-7722

Practitioners & affiliated clinicians

Practitioners 2

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": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1821534967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 STONEHEDGE DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 WINTHROP AVE",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479092420",
            "telephone_number": "765-477-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANI AHDAB DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "AHDAB",
        "authorized_official_first_name": "HANI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-280-9609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IN",
            "license": "12012631A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lafayette Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.