Amira A Hassan, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

6937199-9921 Issued in UT

Practice address

3280 W 3500 S Ste 3
West Valley, UT 84119-2688

Phone

(801) 969-2121

Fax

(801) 969-9905

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elite Dental

  • Dentist
  • West Valley, UT
  • NPI 1851607402
  NPD (past) Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219276800000",
    "number": "1023107166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 W 3500 S #3",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "84119",
            "telephone_number": "801-969-2121",
            "fax_number": "801-969-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 W 3500 S STE 3",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841192688",
            "telephone_number": "801-969-2121",
            "fax_number": "801-969-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "AMIRA",
        "middle_name": "A",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "6937199-9921",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "47780",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mauri Hansen
• Tonya Hardy, DVM
• Brandee Lee Harris, CMHCA STUDENT INTERN
• Eric Harris, DMD, MSD
• Jason Drew Harting
• Sophie Heaton
• Kaitlin Hickman
• Ari Michael Hobfoll, DMD
• Arlene R Holland, APRN
• Corey Hotton, PTA

• Dentist in West Valley, UT
• Providers in West Valley, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.