Individual provider Active NPI

Nadeem U Haseeb, DDS

  • General Practice Dentistry
  • National City, CA
National Provider Identifier
1891750659
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17012 Issued in NJ
Practice address
1722 Sweetwater Rd Ste C
National City, CA 91950-7646
Phone
(619) 336-1974
Fax
(619) 336-1976
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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 17012 NJ Primary

Addresses

Primary practice location

1722 Sweetwater Rd Ste C
National City, CA 91950-7646

Mailing address

1722 Sweetwater Rd Ste C
National City, CA 91950-7646
Phone (619) 336-1974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 14, 2015 through Jul 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17012NJMDGeneral Practice Dentistry
52294CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nadeem U Haseeb, DDS a Professional Corporation Past Accepting new patients

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1891750659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 SWEETWATER RD STE C",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919507646",
            "telephone_number": "619-336-1974",
            "fax_number": "619-336-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 SWEETWATER RD STE C",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919507646",
            "telephone_number": "619-336-1974",
            "fax_number": "619-336-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASEEB",
        "first_name": "NADEEM",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "17012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

Verify at the official NPI Registry.