Abu Faisal Mohammad Hasme, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

4190 Issued in AR

Practice address

465 Medical Center Pkwy
Clinton, AR 72031-7946

Phone

(501) 745-8811

Fax

(501) 745-5042

NPI assigned

Nov 7, 2016

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Tuba City Regional Health Care Corporation

  dba Tuba City Indian Medical Center

  • General Acute Care Hospital
  • Tuba City, AZ
  • NPI 1548294424

  TX

  Medicare reassignment NPD
• Tuba City Regional Health Care Corporation

  dba Bodaway Gap Clinic

  • Family Medicine Physician
  • Bodaway Gap, AZ
  • NPI 1710519913
  NPD

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063954139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1060",
            "city": "MARSHALL",
            "state": "AR",
            "postal_code": "726501060",
            "telephone_number": "870-448-5101",
            "fax_number": "870-448-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 MEDICAL CENTER PKWY",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "720317946",
            "telephone_number": "501-745-8811",
            "fax_number": "501-745-5042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 S School St",
            "address_purpose": "LOCATION",
            "city": "Dermott",
            "state": "AR",
            "postal_code": "716382127",
            "country_code": "US",
            "telephone_number": "870-538-3355",
            "fax_number": "855-811-4203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASME",
        "first_name": "ABU FAISAL",
        "middle_name": "MOHAMMAD",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-07",
        "last_updated": "2022-07-21",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "4190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221694608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Hall, RECOVERY ASSISTANT
• Leilani Harmon
• Lisa Nicole Harmon
• Cheryl A. Harper, CCC-SLP
• Karen Hartle
• Charity Hawkins
• Austin Hawks
• Health Resources of Arkansas, Inc.
• Gayla Ann Hearn, OTRL, PT
• Anita Kay Heavner, PT

• Dentist in Clinton, AR
• Providers in Clinton, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.