Active NPI
Manal Hasan Mohammad Hamdan, DDS, MS
- Oral and Maxillofacial Radiology Dentistry
- Lincoln, NE
National Provider Identifier
1316591910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Radiology Dentistry
- License
- 132
- Practice address
- 4000 E Campus Loop S
Lincoln, NE 68583-1530 - Phone
- (402) 472-1370
- NPI assigned
- Jul 31, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | 132 | NE | Primary |
Addresses
Primary practice location
4000 E Campus Loop S
Lincoln, NE 68583-1530
Mailing address
4000 E Campus Loop S
Lincoln, NE 68583-1530
Phone (402) 472-1370
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1316591910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 E CAMPUS LOOP S",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685831530",
"telephone_number": "402-472-1370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 E CAMPUS LOOP S",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685831530",
"telephone_number": "402-472-1370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMDAN",
"first_name": "MANAL",
"middle_name": "HASAN MOHAMMAD",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-31",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0008X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Radiology",
"state": "NE",
"license": "132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.