BASEL HAJJAR (NPI# 1962576306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962576306 |
| Entity Type | Individual |
| Full Name | BASEL HAJJAR |
| Credential | DDS |
| Practice Address |
3100 North Campbell St Valparaiso IN 46385-2361 |
| Practice Telephone | 2194628848 |
| Practice Fax Number | 2194628848 |
| Mailing Telephone | 2194628848 |
| Mailing Fax Number | 2194628848 |
| Enumeration Date | 2006-11-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
12010711A | IN | Dental Providers |
| Street Address |
3100 NORTH CAMPBELL ST |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46385-2361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831738657 | William K Mitchell V | Nurse Anesthetist, Certified Registered | 85 E Us-6 Frontage Rd, Valparaiso, IN 46385 | 2019-12-26 |
| 1235609850 | Krystal Melinda Ketchem | Specialist/Technologist | 786 Mccool Rd Suite 8, Valparaiso, IN 46385 | 2018-11-27 |
| 1295254738 | Tiffany Rudziewicz | Massage Therapist | 417 Center St., Valparaiso, IN 46385 | 2017-09-15 |
| 1700255866 | Stephanie Ebsch | Developmental Therapist | 332 W Hwy 6, Valparaiso, IN 46385 | 2015-09-18 |
| 1851781637 | Emily Bisch | Specialist/Technologist | 304 Alba Ct, Valaparaiso, IN 46385 | 2015-01-30 |
| 1255734042 | Jacobs Ladder | Early Intervention Provider Agency | 322 W. 806n, Valparaiso, IN 46385 | 2014-10-07 |
| 1952715062 | Emily Barnes | Occupational Therapist | 332 W. Hwy 6, Valparaiso, IN 46385 | 2014-06-17 |
| 1073853990 | April M Sanders | Social Worker | 660 W. Morthland Dr, Valparraiso, IN 46385 | 2013-03-01 |
| 1245528843 | Bridget K Sibo | Social Worker | 2453 Knights Bridge Drive, Valparaiso, IN 46385 | 2011-07-16 |
| 1053586883 | Luis L Cuellar Jr. | Dentist | 225 Aberdeen Drive, Suite E, Valparaiso, IN 46385 | 2008-04-23 |
| Find all providers in zip 46385 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114524477 | Katherine E. Ferry | Dentist | 4303 E Windsor Ln, Columbus, IN 47201-4022 | 2020-10-08 |
| 1609421965 | Hawra Alqallaf | Dentist | 1121 W Michigan St # Ds422, Indianapolis, IN 46202-5211 | 2019-08-05 |
| 1952814238 | Center for Implant Denistry and Periodontics, LLC | Dentist | 9885 E 116th St Ste 300, Fishers, IN 46037-9242 | 2017-11-09 |
| 1518470897 | Meridian Street Periodontics, LLC | Dentist | 8801 N Meridian St Ste 103, Indianapolis, IN 46260-2353 | 2017-11-09 |
| 1538410451 | Eon Clinics Indiana LLC | Dentist | 10020 Calumet Ave, Munster, IN 46321-4055 | 2012-10-02 |
| 1164726832 | Indy East Periodontics PC | Dentist | 115 N Shortridge Rd Ste 100, Indianapolis, IN 46219-4917 | 2011-01-10 |
| 1588997183 | Shane T Cope Dds, PC | Dentist | 10435 Commerce Drive, Suite 120, Carmel, IN 46032 | 2009-09-14 |
| 1366697070 | Bruce B. Wiland, Dds, Msd | Dentist | 3415 S Lafountain St Ste K, Kokomo, IN 46902-3827 | 2008-11-21 |
| 1023267770 | James M. Humphrey | Dentist | 221 S. 19th Street, Terre Haute, IN 47807-4129 | 2008-09-17 |
| 1891968194 | James Kirk | Dentist | 500 W Lincoln Hwy Ste N, Merrillville, IN 46410 | 2008-04-08 |
| Find all providers with the same taxonomy | ||||
| City | VALPARAISO |
| Zip Code | 46385 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.