Active NPI
Ashraf Hasasneh
- General Practice Dentistry
- Madera, CA
National Provider Identifier
1215415047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D010229
- Practice address
- 1100 N Gateway Dr
Madera, CA 93637-9600 - Phone
- (559) 363-4160
- NPI assigned
- Aug 2, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DDS102911 | CA | |
| Dentist | 122300000X | D102911 | NY | |
| General Practice Dentistry | 1223G0001X | D010229 | AZ | Primary |
Addresses
Primary practice location
1100 N Gateway Dr
Madera, CA 93637-9600
Mailing address
3333 E Latham Way
Gilbert, AZ 85297-3010
Phone (919) 702-5193
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
| License | State | Type | Specialty |
|---|---|---|---|
| D102911 | NY | MD | Dentist |
| D010229 | AZ | MD | General Practice Dentistry |
| DDS102911 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sdcaz LLC | General Practice | Past | Accepting new patients |
| Cute Smiles 4 Kids | 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
- Phoenix, AZ
- NPI 1538314992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1215415047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 E LATHAM WAY",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852973010",
"telephone_number": "919-702-5193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 N GATEWAY DR",
"city": "MADERA",
"state": "CA",
"postal_code": "936379600",
"telephone_number": "559-363-4160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASASNEH",
"first_name": "ASHRAF",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-02",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "DDS102911",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "D102911",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D010229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.