Active NPI
Brian Lee Hasse, D.D.S.
- General Practice Dentistry
- Wichita Falls, TX
National Provider Identifier
1104942234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14059
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 14059 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smiley Dental Wichita Falls PLLC | General Practice | Past | Accepting new patients |
| Access Dental of la Casa PLLC | General Practice | Past | 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.
-
- General Practice Dentistry
- Wichita Falls, TX
- NPI 1770185480
-
- General Practice Dentistry
- Wichita Falls, TX
- NPI 1619691896
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.