Individual provider Active NPI

Iquebal Hasan, DDS

  • Oral Medicine Dentistry
  • Greenville, NC
National Provider Identifier
1255657441
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral Medicine DentistryTaxonomy code 125Q00000X
License
00175 Issued in NC
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

Updated by the provider on Jun 25, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100301160MedicaidKY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161114000856 NC Practitioner - Oral Surgery 2264667781 Reassigns benefits to 3 organizations

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
Hpu Health LLCGroup PAC ID 2860831989, 5 clinicians

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

LicenseStateTypeSpecialty
0175NCMDOral Medicinist

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina Hospitals at Chapel Hill CurrentSince Jun 1, 2022 Accepting new patients
East Carolina University CurrentSince Sep 1, 2016 Accepting new patients
Hpu Health LLC Dentist CurrentSince Jan 27, 2026 Accepting new patients
East Carolina University Current Accepting new patients
University of North Carolina Hospitals at Chapel Hill CurrentSince Jun 1, 2022 Accepting new patients
University of North Carolina Hospitals at Chapel Hill Current Accepting new patients
East Carolina University Dentist CurrentSince Sep 1, 2016 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.