Mohamed Ibrahiem Elhassanin, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

52049 Issued in CA

Practice address

1901 Watt Ave Ste 6
Sacramento, CA 95825-2152

Phone

(916) 482-2777

Fax

(916) 482-2755

NPI assigned

Dec 1, 2006

Last updated

Feb 22, 2011By 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

Medicare fee-for-service enrollment

Enrolled in CA

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

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.

• Mohamed Elhassanin Dental Corporation

  • Dental Clinic/Center
  • Sacramento, CA
  • NPI 1952580912
  Authorized official Same address or phone

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1093883464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 WATT AVE STE 6",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252152",
            "telephone_number": "916-482-2777",
            "fax_number": "916-482-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 WATT AVE STE 6",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252152",
            "telephone_number": "916-482-2777",
            "fax_number": "916-482-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELHASSANIN",
        "first_name": "MOHAMED",
        "middle_name": "IBRAHIEM",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "52049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elevated Health and Community
• Elevated Smiles Group Inc
• Guy Elgar, MD
• Aya Elhage, PHARMD
• Laurisa Sarah Elhai, N.P.
• Randa Hatem Elhertani
• Elhogar
• Jaqueline Elias Catano
• Julia Elias Garcia
• Lisa Christina Elias

• Dentist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.