Active NPI
Ammar Hasan, DDS
- General Practice Dentistry
- Stafford, VA
National Provider Identifier
1013572023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401419478
- Practice address
- 481 Garrisonville Rd Ste 105
Stafford, VA 22554-1601 - Phone
- (540) 203-9974
- NPI assigned
- May 6, 2019
- Reactivated
- Oct 24, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401419478 | VA | Primary |
Addresses
Primary practice location
481 Garrisonville Rd Ste 105
Stafford, VA 22554-1601
Mailing address
481 Garrisonville Rd Ste 105
Stafford, VA 22554-1601
Phone (540) 203-9974
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401419478 | VA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769040000000",
"number": "1013572023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "481 GARRISONVILLE RD STE 105",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225541601",
"telephone_number": "540-203-9974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "481 GARRISONVILLE RD STE 105",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225541601",
"telephone_number": "540-203-9974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASAN",
"first_name": "AMMAR",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-06",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"deactivation_date": "2021-07-29",
"reactivation_date": "2025-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401419478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.