Alex Bouhachem DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901002050 Issued in MI

Legal business name

ALEX BOUHACHEM DPM PC

Practice address

10801 W Warren Ave
Dearborn, MI 48126-1191

Phone

(734) 895-4530

Fax

(313) 447-3234

NPI assigned

Jan 15, 2007

Last updated

Aug 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alex Bouhachem, DPMNPI 1912905340

Title

Ceo

Phone

(313) 406-4201

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Alex Bouhachem DPM PC

  • Durable Medical Equipment & Medical Supplies
  • Dearborn, MI
  • NPI 1124237516

  3779592241

  Same PAC ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alex Bouhachem, DPM

  • Foot & Ankle Surgery Podiatrist
  • Dearborn, MI
  • NPI 1912905340
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1932250149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 N ROSEVERE AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281242",
            "telephone_number": "734-895-4530",
            "fax_number": "313-447-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261191",
            "telephone_number": "734-895-4530",
            "fax_number": "313-447-3234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23801 W Warren St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Dearborn Heights",
            "state": "MI",
            "postal_code": "481272277",
            "country_code": "US",
            "telephone_number": "734-895-4530",
            "fax_number": "313-447-3234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALEX BOUHACHEM DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "BOUHACHEM",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-406-4201",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "caretracker",
            "affiliation": "N",
            "endpointDescription": "emr",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10801 W Warren Ave",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481261191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CARETRACKER",
            "affiliation": "N",
            "address_1": "1813 N Rosevere Ave",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481281242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alaa Alemari
• Alenzi MD PC
• Salah Abbas Alenzi, M.D.
• Kayla Renae Aleshire, PHARMD
• Alex Bouhachem DPM PC
• Alexander Thomas DPM PC (MI Foot and Ankle Specialist)
• Kerric Welsey Alexander Jr.
• Alexandria M Torres LLC
• Yannick Michael Alexis
• Afnan Alfakih

• Podiatrist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.