Active NPI
Shirwa Mohammed Hassan, D.M.D.
- Dentist
- Columbus, OH
National Provider Identifier
1295160604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30024080
- Practice address
- 2872 Stelzer Rd
Columbus, OH 43219-3133 - Phone
- (614) 476-3368
- Fax
- (614) 476-8877
- NPI assigned
- Sep 5, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 30024080 | OH | Primary |
Addresses
Primary practice location
2872 Stelzer Rd
Columbus, OH 43219-3133
Mailing address
2872 Stelzer Rd
Columbus, OH 43219-3133
Phone (614) 476-3368
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160728002078 | OH | Order and Referring Only - Oral Surgery | 0648563650 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30024080 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Discover Dental LLC | Dentist | Past | Accepting new patients |
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.
-
- Dentist
- Columbus, OH
- NPI 1154614675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378339200000",
"number": "1295160604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2872 STELZER RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432193133",
"telephone_number": "614-476-3368",
"fax_number": "614-476-8877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2872 STELZER RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432193133",
"telephone_number": "614-476-3368",
"fax_number": "614-476-8877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSAN",
"first_name": "SHIRWA",
"middle_name": "MOHAMMED",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-05",
"last_updated": "2013-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30024080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.