Active NPI
H&S DDS PC
- Dentist
- Hamtramck, MI
National Provider Identifier
1861552192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901017759
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Houssein Harajli, D.D.S.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12-4828756 | Medicaid | MI |
Other names 1
- Elegant Smile Dental Clinic
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Hamtramck, MI
- NPI 1093967168
-
- Dentist
- Oak Park, MI
- NPI 1811735269
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.