Individual provider Active NPI

Hassan Chihab, DDS, MS

  • Prosthodontics
  • Bellevue, WA
National Provider Identifier
1366608044
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DE00008366 Issued in WA
Practice address
4301 Factoria Blvd SE
Suite B
Bellevue, WA 98006-1982
Phone
(425) 747-8788
Fax
(425) 747-3564
NPI assigned
Aug 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DE00008366 WA Primary

Addresses

Primary practice location

4301 Factoria Blvd SE
Suite B
Bellevue, WA 98006-1982

Mailing address

4955 Highland Dr
Bellevue, WA 98006-3400
Phone (425) 747-8788

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

LicenseStateTypeSpecialty
DE00008366WAMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217548800000",
    "number": "1366608044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 HIGHLAND DR",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980063400",
            "telephone_number": "425-747-8788",
            "fax_number": "425-747-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 FACTORIA BLVD SE",
            "address_2": "SUITE B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061982",
            "telephone_number": "425-747-8788",
            "fax_number": "425-747-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIHAB",
        "first_name": "HASSAN",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WA",
            "license": "DE00008366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.