Active NPI
Yaser Said Hamdan, DDS MSD
- General Practice Dentistry
- Plano, TX
National Provider Identifier
1023183910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 29769
- Practice address
- 2520 K Ave Ste 180
Plano, TX 75074-5378 - Phone
- (972) 423-1234
- Fax
- (972) 424-6543
- NPI assigned
- Nov 24, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12010550A | IN | |
| General Practice Dentistry | 1223G0001X | 29769 | TX | Primary |
Addresses
Primary practice location
2520 K Ave Ste 180
Plano, TX 75074-5378
Mailing address
2520 K Ave Ste 180
Plano, TX 75074-5378
Phone (972) 423-1234
Other practice location 1
1929 W Morris St
Indianapolis, IN 46221
Phone (317) 638-4703
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200466890A | Medicaid | IN | |
| 353900901 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150616001221 | TX | Order and Referring Only - Dentist | 4284945361 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12010550A | IN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538611200000",
"number": "1023183910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 K AVE STE 180",
"city": "PLANO",
"state": "TX",
"postal_code": "750745378",
"telephone_number": "972-423-1234",
"fax_number": "972-424-6543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 K AVE STE 180",
"city": "PLANO",
"state": "TX",
"postal_code": "750745378",
"telephone_number": "972-423-1234",
"fax_number": "972-424-6543"
}
],
"practiceLocations": [
{
"address_1": "1929 W Morris St",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "46221",
"country_code": "US",
"telephone_number": "317-638-4703",
"fax_number": "317-638-5255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMDAN",
"first_name": "YASER",
"middle_name": "SAID",
"name_prefix": "Dr.",
"credential": "DDS MSD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-24",
"last_updated": "2018-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12010550A",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "29769",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200466890A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "353900901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.