Active NPI
Iquebal Hasan, DDS
- Oral Medicine Dentistry
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral Medicine Dentistry
- License
- 00175
- Practice address
- 1851 Macgregor Downs Rd
Mail Stop #701
Greenville, NC 27834-5925 - Phone
- (252) 737-7158
- Fax
- (252) 737-7049
- NPI assigned
- Apr 13, 2010
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 00175 | NC | |
| General Practice Dentistry | 1223G0001X | 00175 | NC | |
| Oral Medicine Dentistry | 125Q00000X | 0175 | NC | |
| Oral Medicine Dentistry | 125Q00000X | 00175 | NC | Primary |
Addresses
Primary practice location
1851 Macgregor Downs Rd
Mail Stop #701
Greenville, NC 27834-5925
Mailing address
1851 Macgregor Downs Ro
Mail Stop #701 Ecu School of Dental Medicine
Greenville, NC 27834-0297
Phone (252) 737-7158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100301160 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
231 Plaza LN
Suite 101
High Point, NC 27263-2494
Phone (336) 886-4161
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0175 | NC | MD | Oral Medicinist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Carolina Hospitals at Chapel Hill | Current | Accepting new patients | |
| East Carolina University | Current | Accepting new patients | |
| Hpu Health LLC | Dentist | Current | Accepting new patients |
| East Carolina University | Current | Accepting new patients | |
| University of North Carolina Hospitals at Chapel Hill | Current | Accepting new patients | |
| University of North Carolina Hospitals at Chapel Hill | Current | Accepting new patients | |
| East Carolina University | Dentist | Current | Accepting new patients |
Locations
101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485
1002 N Church St
Ste 206
Greensboro, NC 27401
Phone (336) 378-9433
1851 Macgregor Downs Rd
Greenville, NC 27834
Phone (252) 737-7000
1851 Macgregor Downs Rd
Stop 701
Greenville, NC 27834
Phone (252) 331-7225
231 Plaza Ln
Ste 101
High Point, NC 27263
Phone (336) 886-4161
107 W Naomi St
Randleman, NC 27317
Phone (336) 498-3732
Organizations & group practices 7
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.
-
- Dentist
- High Point, NC
- NPI 1548907942
-
- Family Medicine Physician
- Greenville, NC
- NPI 1972551919
-
- Interventional Cardiology Physician
- Chapel Hill, NC
- NPI 1568070308
-
- Internal Medicine Physician
- Greenville, NC
- NPI 1043260474
-
- Dentist
- Greenville, NC
- NPI 1669750014
-
- Community/Retail Pharmacy
- Morrisville, NC
- NPI 1134928542
-
- Transplant Surgery Physician
- Chapel Hill, NC
- NPI 1932745197
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- High Point, NC
- NPI 1396746228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593043200000",
"number": "1255657441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1851 MACGREGOR DOWNS RO",
"address_2": "MAIL STOP #701 ECU SCHOOL OF DENTAL MEDICINE",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278340297",
"telephone_number": "252-737-7158",
"fax_number": "252-737-7049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1851 MACGREGOR DOWNS RD",
"address_2": "MAIL STOP #701",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345925",
"telephone_number": "252-737-7158",
"fax_number": "252-737-7049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASAN",
"first_name": "IQUEBAL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-13",
"last_updated": "2020-06-25",
"certification_date": "2020-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "00175",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "00175",
"primary": false
},
{
"code": "125Q00000X",
"taxonomy_group": "",
"desc": "Dentist, Oral Medicine",
"state": "NC",
"license": "0175",
"primary": false
},
{
"code": "125Q00000X",
"taxonomy_group": "",
"desc": "Dentist, Oral Medicine",
"state": "NC",
"license": "00175",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100301160",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.