Active NPI
Kassim Abdinoor-Hassan
- Dental Hygienist
- Portland, ME
National Provider Identifier
1285759290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2705
- Practice address
- 20 Portland St
Portland, ME 04101-2912 - Phone
- (207) 874-8445
- NPI assigned
- Mar 20, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2705 | ME | Primary |
Addresses
Primary practice location
20 Portland St
Portland, ME 04101-2912
Mailing address
389 Congress St
Room 307
Portland, ME 04101-3509
Phone (207) 874-8784
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 |
|---|---|---|---|
| 2705 | ME | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1285759290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "389 CONGRESS ST",
"address_2": "ROOM 307",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041013509",
"telephone_number": "207-874-8784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 PORTLAND ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041012912",
"telephone_number": "207-874-8445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDINOOR-HASSAN",
"first_name": "KASSIM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "ME",
"license": "2705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.