Individual provider Active NPI

Hussein Alhasan, DDS, MSD

  • Dentist
  • Woodbridge, VA
National Provider Identifier
1295408730
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401417609 Issued in VA
Practice address
12618 Lake Ridge Dr
Woodbridge, VA 22192-2335
Phone
(703) 636-9895
NPI assigned
Jul 30, 2021
Last updated
Mar 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401417609 VA Primary
Dentist 122300000X 111671 CA

Addresses

Primary practice location

12618 Lake Ridge Dr
Woodbridge, VA 22192-2335

Mailing address

1603 Evers Dr
MC Lean, VA 22101-5008
Phone (916) 622-2098

Other practice location 1

2835 Eastern Ave Ste 1
Sacramento, CA 95821-5400
Phone (279) 238-4949

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
111671CAMDDentist
0401417609VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Blossom Smile of Sacramento PC Current Accepting new patients
Blossom Smile of Woodbridge PLLC CurrentSince Oct 22, 2023 Accepting new patients
Manassas Modern Dentistry PLLC Dentist PastSince Jul 24, 2022 Accepting new patients
Caring Dental PC PastSince Aug 28, 2022 Accepting new patients

Locations

2835 Eastern Ave
Ste 1
Sacramento, CA 95821
Phone (279) 238-4949

12618 Lake Ridge Dr
Woodbridge, VA 22192
Phone (703) 636-9895

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1295408730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 EVERS DR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221015008",
            "telephone_number": "916-622-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12618 LAKE RIDGE DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922335",
            "telephone_number": "703-636-9895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2835 Eastern Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958215400",
            "country_code": "US",
            "telephone_number": "279-238-4949",
            "fax_number": "279-238-4939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALHASAN",
        "first_name": "HUSSEIN",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-30",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401417609",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "111671",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.