Hassan Ismail, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12061 Issued in MN

Practice address

1090 Shingle Creek Crossing
Aspen Dental
Brooklyn Center, MN 55340

Phone

(651) 583-7256

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dental Consultants LLC

  • General Practice Dentistry
  • Brooklyn Center, MN
  • NPI 1689038473
  NPD (past) Authorized official

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427414400000",
    "number": "1285786293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 SHINGLE CREEK CROSSING",
            "address_2": "ASPEN DENTAL",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "55430",
            "telephone_number": "651-583-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 SHINGLE CREEK CROSSING",
            "address_2": "ASPEN DENTAL",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "55340",
            "telephone_number": "651-583-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISMAIL",
        "first_name": "HASSAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2015-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE NUMBER",
            "identifier": "611890900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrity Home Health Care LLC
• Molly Irsfeld, PHARMD
• Isaiah Sixty-One Ministries
• Nataliya Ishkova-Volovets, NP
• Niema Ismael
• Sadia Mohamed Ismail
• Anisa Ibrahim Ismial
• Tracy Eboshogue Itsosime Ekhator
• Dixie Blair Ivey
• Aliyah Jabbar

• General Practice Dentistry in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.