Individual provider Active NPI

Baqar Hasnain, D.D.S.

  • General Practice Dentistry
  • Americus, GA
National Provider Identifier
1275612368
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN013170 Issued in GA
Practice address
101 Mayo St Ste a
Americus, GA 31709-3696
Phone
(229) 924-4647
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN013170 GA Primary

Addresses

Primary practice location

101 Mayo St Ste a
Americus, GA 31709-3696

Mailing address

101 Mayo St Ste a
Americus, GA 31709-3696
Phone (229) 924-4647

Other identifiers 1

IdentifierTypeStateIssuer
516756947AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150413002400 GA Order and Referring Only - Other (Non-Physician) 3971821463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN013170GAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1275612368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MAYO ST STE A",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093696",
            "telephone_number": "229-924-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MAYO ST STE A",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093696",
            "telephone_number": "229-924-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASNAIN",
        "first_name": "BAQAR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "516756947A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Americus, GA

Sources for this page

Verify at the official NPI Registry.