Hadi D Hamdan

Primary specialty

DentistTaxonomy code 122300000X

License

47901 Issued in CA

Practice address

4125 E Ventura Ave Ste 101
Fresno, CA 93702-3503

Phone

(559) 312-7874

Fax

(559) 325-6772

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: hhamdan@direct.westerndental.com

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.

• Hadi Daoud Hamdan Dental Corporation

  • Point of Service
  • Clovis, CA
  • NPI 1912430778
  NPD (past) Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1922145044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 E VENTURA AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937023503",
            "telephone_number": "559-312-7874",
            "fax_number": "559-578-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 E VENTURA AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937023503",
            "telephone_number": "559-312-7874",
            "fax_number": "559-325-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMDAN",
        "first_name": "HADI",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "47901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D47901",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juliana R Halvorson
• Souad Hamade, DO
• Staci Maki Hamamoto, OD
• Audrey Haman
• Aileen N Hamayelian, RD
• Haaris Hameed, DO
• Kelly Hamel, PNP
• Melvin D Hamel, PH.D.
• Joseph Alexander Hamera, MD
• Linda Hamidjaja, MD

• Dentist in Fresno, CA
• Providers in Fresno, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.