Basel Hajjar, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

12010711A Issued in IN

Practice address

3100 North Campbell St
Valparaiso, IN 46385-2361

Phone

(219) 462-8848

Fax

(219) 462-8848

NPI assigned

Nov 18, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• American Anesthesiology of Illinois, LLC

  • Anesthesiology Physician
  • Merrillville, IN
  • NPI 1326224270
  NPD (past)

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

{
    "created_epoch": "1163808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962576306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 NORTH CAMPBELL ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463852361",
            "telephone_number": "219-462-8848",
            "fax_number": "219-462-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NORTH CAMPBELL ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463852361",
            "telephone_number": "219-462-8848",
            "fax_number": "219-462-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJJAR",
        "first_name": "BASEL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IN",
            "license": "12010711A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Hacker
• Casey Hackett
• Mohammed Hafeez, MD
• Katelyn Hagen
• Kimberly Ann Hager, RPH
• Brittney Hall
• Lacey Hall, R.D.
• Megan Nicole Hall, FNP-C
• Samantha Hall, BCBA
• Thomas Robert Hall, M.D.

• Periodontics in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Periodontics in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.