Individual provider Active NPI

Brian Lee Hasse, D.D.S.

  • General Practice Dentistry
  • Wichita Falls, TX
National Provider Identifier
1104942234
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14059 Issued in TX
Practice address
1211 Loop 11
Wichita Falls, TX 76306-6800
Phone
(940) 855-3435
Fax
(940) 855-3835
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14059 TX Primary

Addresses

Primary practice location

1211 Loop 11
Wichita Falls, TX 76306-6800

Mailing address

2100 Canyon Ridge Dr
Wichita Falls, TX 76309-2715
Phone (940) 692-7318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14059TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Smiley Dental Wichita Falls PLLC General Practice PastSince Oct 1, 2022 Accepting new patients
Access Dental of la Casa PLLC General Practice PastSince Nov 15, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104942234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 CANYON RIDGE DR",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763092715",
            "telephone_number": "940-692-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 LOOP 11",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763066800",
            "telephone_number": "940-855-3435",
            "fax_number": "940-855-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSE",
        "first_name": "BRIAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.