Dina Moustafa Sobhi Hammouda, DDS, MSD

Primary specialty

DentistTaxonomy code 122300000X

License

103399 Issued in CA

Practice address

425 Estudillo Ave Ste B
San Leandro, CA 94577-4906

Phone

(510) 969-8510

NPI assigned

Sep 16, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hammouda Dental Inc

  • Dentist
  • San Leandro, CA
  • NPI 1083327134
  NPD Authorized official
• Kabiri Premier Dental Inc.

  • Dentist
  • San Leandro, CA
  • NPI 1659808624
  NPD (past)

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1144699471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ESTUDILLO AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774961",
            "telephone_number": "510-969-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 ESTUDILLO AVE STE B",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774906",
            "telephone_number": "510-969-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOUDA",
        "first_name": "DINA",
        "middle_name": "MOUSTAFA SOBHI",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE 60526116",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "103399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Qiyamah F Hameed
• Eric Robert Hamilton, COTA
• Ashton Hammond
• Jessica Elizabeth Hammond
• Hammouda Dental Inc
• Shaunita Hampton
• Anney Han, O.D.
• Jamie Han
• Susan Han
• Johanna Robin Hand

• Dentist in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.