Vassos B. Hajiharis, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

019013377 Issued in IL

Practice address

4435 W 95TH Street
Oaklawn, IL 60453

Phone

(313) 499-4775

Fax

(708) 423-8552

NPI assigned

May 2, 2007

Last updated

Nov 18, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midland Oral Surgery and Implant Centers, LTD

  • Oral and Maxillofacial Surgery (Dentist)
  • Oak Lawn, IL
  • NPI 1669480851
  Medicare reassignment NPD

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1891916003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 W 15TH STREET",
            "city": "TINLEY PARK",
            "state": "FL",
            "postal_code": "60477",
            "telephone_number": "708-429-4770",
            "fax_number": "708-429-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 W 95TH STREET",
            "city": "OAKLAWN",
            "state": "IL",
            "postal_code": "60453",
            "telephone_number": "313-499-4775",
            "fax_number": "708-423-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJIHARIS",
        "first_name": "VASSOS",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901018486",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "4301086539",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "019013377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Hagan, MD
• Cheryl Anne Hager, APN
• Erin Katherine Hagerty, PSY.D.
• Jafar Haghshenas, DO
• Grace Haines-Gallagher, AU.D.
• Mujahed Halabyah
• Laurie Ann Hall, FNP
• George S Hallenbeck, MD
• Piotr Halon, MA, DO
• Amar Hamad, MD

• Oral and Maxillofacial Surgery (Dentist) in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.