Active NPI
Ayman Aly Hashem, B.D.S
- Dentist
- Murrieta, CA
National Provider Identifier
1336207646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 47087
- Practice address
- 25155 Madison Ave
Murrieta, CA 92562-8974 - Phone
- (951) 834-9751
- NPI assigned
- Dec 5, 2006
- 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 | 47087 | CA | Primary |
Addresses
Primary practice location
25155 Madison Ave
Murrieta, CA 92562-8974
Mailing address
27704 Lafayette Way
Moreno Valley, CA 92555-5710
Phone (951) 312-1657
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20151012001023 | CA | Order and Referring Only - Dentist | 6103135215 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47087 | CA | MD | Dentist |
Interoperability endpoints
- ahashem@direct.westerndental.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336207646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27704 LAFAYETTE WAY",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925555710",
"telephone_number": "951-312-1657",
"fax_number": "951-766-9655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25155 MADISON AVE",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925628974",
"telephone_number": "951-834-9751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASHEM",
"first_name": "AYMAN",
"middle_name": "ALY",
"credential": "B.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "47087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.