Individual provider Active NPI

Syed H. Hassan, DDS

  • Dentist
  • Mason, OH
National Provider Identifier
1285704437
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30021536 Issued in OH
Practice address
8571 S Mason Montgomery Rd
Suite #37
Mason, OH 45040-9808
Phone
(513) 770-6790
Fax
(513) 770-6794
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30021536 OH Primary

Addresses

Primary practice location

8571 S Mason Montgomery Rd
Suite #37
Mason, OH 45040-9808

Mailing address

8571 S Mason Montgomery Rd BLDG 300
Mason, OH 45040-9808
Phone (513) 515-5256

Other identifiers 3

IdentifierTypeStateIssuer
2362116MedicaidOH
2492726MedicaidOH
900077948028OtherOHCARESOURCE PROVIDER NUMBE

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
30021536OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Amazing Smiles Dental, LLC Dentist CurrentSince Oct 21, 2025 Accepting new patients

Locations

1140 Harrison Ave
Harrison, OH 45030

8571 S Mason Montgomery Rd
Ste 37
Mason, OH 45040
Phone (513) 770-6790

8571 S Mason Montgomery Rd
Bldg 300
Mason, OH 45040
Phone (513) 770-6790

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1285704437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8571 S MASON MONTGOMERY RD BLDG 300",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450409808",
            "telephone_number": "513-515-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8571 S MASON MONTGOMERY RD",
            "address_2": "SUITE #37",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450409808",
            "telephone_number": "513-770-6790",
            "fax_number": "513-770-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "SYED",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30021536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2362116",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2492726",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE PROVIDER NUMBE",
            "identifier": "900077948028",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.