Active NPI
Adnan A Hossain, D.D.S.
- Dentist
- Norcross, GA
National Provider Identifier
1043449648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN013918
- Practice address
- 3110 Smith Ridge Trce
Norcross, GA 30071-2646 - Phone
- (646) 402-5670
- NPI assigned
- Jul 6, 2009
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN013918 | GA | Primary |
Addresses
Primary practice location
3110 Smith Ridge Trce
Norcross, GA 30071-2646
Mailing address
3110 Smith Ridge Trce
Norcross, GA 30071-2646
Phone (646) 402-5670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161115001357 | TN | Order and Referring Only - Other (Non-Physician) | 7719266709 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9404 | TN | MD | Clinical Social Worker |
| DN013918 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286928000000",
"number": "1043449648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3110 SMITH RIDGE TRCE",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300712646",
"telephone_number": "646-402-5670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3110 SMITH RIDGE TRCE",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300712646",
"telephone_number": "646-402-5670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSSAIN",
"first_name": "ADNAN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-06",
"last_updated": "2010-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN013918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.