Individual provider Active NPI

Abdulmohsin Hassan Alhashim, DDS, MSD

  • Prosthodontics
  • Las Vegas, NV
National Provider Identifier
1215232103
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
S5-58C Issued in NV
Practice address
6780 S Fort Apache Rd Ste 130
Las Vegas, NV 89148-5405
Phone
(725) 235-9301
NPI assigned
Jan 24, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DNF000419 GA
Prosthodontics 1223P0700X S136 MN
Prosthodontics 1223P0700X S5-58C NV Primary

Addresses

Primary practice location

6780 S Fort Apache Rd Ste 130
Las Vegas, NV 89148-5405

Mailing address

2318 Malone Way
Evans, GA 30809-5312
Phone (706) 288-9448

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DNF000419GAMDProsthodontist
S136MNMDProsthodontist
S5-58CNVMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Au Dental Associates PastSince Aug 1, 1996 Accepting new patients

Organizations & group practices 1

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": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1215232103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 MALONE WAY",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308095312",
            "telephone_number": "706-288-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6780 S FORT APACHE RD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485405",
            "telephone_number": "725-235-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALHASHIM",
        "first_name": "ABDULMOHSIN",
        "middle_name": "HASSAN",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-24",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "GA",
            "license": "DNF000419",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MN",
            "license": "S136",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NV",
            "license": "S5-58C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.