DR. WASEEM M. TARAJI (NPI# 1194265652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194265652 |
| Entity Type | Individual |
| Full Name | DR. WASEEM M. TARAJI |
| Credential | D.M.D. |
| Practice Address |
6412 Winchester Rd Fort Wayne IN 46819-1550 |
| Mailing Address |
8109 Kenton Ave Skokie IL 60076-3104 |
| Practice Telephone | 2606274686 |
| Mailing Telephone | 8474142622 |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2019-09-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12013070A | IN | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
30.025514 | OH | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
019031098 | IL | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 320 E Armstrong Ave, Peoria, IL 616033172 | 2247161024 | |
| 1142 Westwood Dr, Van Wert, OH 45891 | 4192389368 |
| Street Address |
6412 WINCHESTER RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46819-1550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831279447 | David K. Harrison Dds PC | Dentist | 6412 Winchester Rd, Fort Wayne, IN 46819-1550 | 2006-10-17 |
| 1346502713 | Keith Harrison | Dentist | 6412 Winchester Rd, Fort Wayne, IN 46819-1550 | 2012-06-12 |
| 1720209000 | David K Harrison | Dentist | 6412 Winchester Rd, Fort Wayne, IN 46819-1550 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093030066 | Amber N Hollins | Occupational Therapy Assistant | 2027 Woodhaven Dr, Fort Wayne, IN 46819-1038 | 2010-04-02 |
| 1073610689 | Mir Abdul Karim Moshref | Family Medicine | 2110 Lower Huntington Rd, Fort Wayne, IN 46819-1235 | 2006-09-19 |
| 1265863187 | Karim Moshref Md PC | Clinic/Center | 2110 Lower Huntington Rd, Fort Wayne, IN 46819-1235 | 2013-12-02 |
| 1558669762 | Abigail Jordan Fulton | Physical Therapy Assistant | 6530 Maywood Cir, Fort Wayne, IN 46819-1246 | 2011-03-11 |
| 1659400711 | Dianne R. Stitzer | Psychologist | 1410 Lower Huntington Rd, Fort Wayne, IN 46819-1359 | 2007-03-05 |
| 1134319437 | Diann Rosellen Deutsch | Registered Nurse | 2220 Dale Dr, Fort Wayne, IN 46819-1604 | 2007-08-01 |
| 1891090783 | Balanced Counseling and Consultation | Counselor | 2211 Maplewood Rd, Fort Wayne, IN 46819-1646 | 2011-01-24 |
| 1700241866 | Wendy Renee Boehm | Behavioral Analyst | 7631 Lakeridge Dr, Fort Wayne, IN 46819-1969 | 2015-12-16 |
| 1235177981 | Daviess County Hospital | Skilled Nursing Facility | 7519 Winchester Rd, Fort Wayne, IN 46819-2242 | 2006-06-03 |
| 1255602611 | Cynthia K Almodovar | Occupational Therapy Assistant | 7519 Winchester Rd, Fort Wayne, IN 46819-2242 | 2012-01-17 |
| Find all providers in zip 46819 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186258 | James Patrick Thompson | Dentist | 5909 Wheelock Rd Ste 102, Fort Wayne, IN 46835-9258 | 2020-08-25 |
| 1295357481 | Sycamore Hills Dentistry | Dentist | 10082 Illinois Rd, Fort Wayne, IN 46804-5772 | 2020-05-11 |
| 1699324103 | Phillip M. Mckean Professional Corporation | Dentist | 6605 E State Blvd Ste 7, Fort Wayne, IN 46815-7036 | 2019-09-06 |
| 1598322083 | Charles Chase Ellinwood | Dentist | 5725 Maplecrest Rd Ste 1, Fort Wayne, IN 46835-4937 | 2019-05-21 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1821582172 | Jacob Yager | Dentist | 9830 Auburn Rd Ste 101, Fort Wayne, IN 46825-2464 | 2018-06-20 |
| 1740772656 | Colleen Rose Allen | Dentist | 10213 Dupont Circle Dr W, Fort Wayne, IN 46825-1656 | 2018-06-06 |
| 1407360910 | Grace Xinxing Clark | Dentist | 4716 Illinois Rd Ste 101, Fort Wayne, IN 46804-5123 | 2017-11-20 |
| 1578959375 | Ronald L Rumbaugh Dds PC | Dentist | 10506 Coldwater Rd, Fort Wayne, IN 46845-1235 | 2015-04-09 |
| 1619388063 | Familia Dental Spfw Pllc | Dentist | 100 E Pettit Ave, 1a, Fort Wayne, IN 46806-3003 | 2014-05-19 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46819 |
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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.