Organization Active NPI

H&S DDS PC

  • Dentist
  • Hamtramck, MI
National Provider Identifier
1861552192
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901017759 Issued in MI
Legal business name
H&S DDS PC
Practice address
12021 Conant St
Hamtramck, MI 48212-2716
Phone
(313) 893-7454
Fax
(313) 893-7504
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Houssein Harajli, D.D.S.NPI 1093967168
Title
Dentist
Phone
(313) 893-7454

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2901017759 MI Primary

Addresses

Primary practice location

12021 Conant St
Hamtramck, MI 48212-2716

Mailing address

12021 Conant St
Hamtramck, MI 48212-2716
Phone (313) 893-7454

Other identifiers 1

IdentifierTypeStateIssuer
12-4828756MedicaidMI

Other names 1

  • Elegant Smile Dental Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

12021 Conant St
Hamtramck, MI 48212
Phone (313) 893-7454

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1861552192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12021 CONANT ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482122716",
            "telephone_number": "313-893-7454",
            "fax_number": "313-893-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12021 CONANT ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482122716",
            "telephone_number": "313-893-7454",
            "fax_number": "313-893-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H&S DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "HARAJLI",
        "authorized_official_first_name": "HOUSSEIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "313-893-7454",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901017759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12-4828756",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elegant Smile Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamtramck, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.