Thair Hasan, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019033078 Issued in IL

Practice address

5034 N Odell Ave
Harwood Heights, IL 60706-3529

Phone

(773) 956-9108

NPI assigned

May 24, 2021

Sex

Male

Sole proprietor

Yes

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.

• Beecher Dental Group, LLC

  • General Practice Dentistry
  • Beecher, IL
  • NPI 1811646854
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 24, 2021.

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1386219129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5034 N ODELL AVE",
            "city": "HARWOOD HEIGHTS",
            "state": "IL",
            "postal_code": "607063529",
            "telephone_number": "773-956-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5034 N ODELL AVE",
            "city": "HARWOOD HEIGHTS",
            "state": "IL",
            "postal_code": "607063529",
            "telephone_number": "773-956-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "THAIR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019033078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fortis Pharmaceuticals, LLC
• Ralph Edward Francis, D.N.
• Ingrid G. Ganim, LCPC
• Audrey J Guidarelli, LCSW
• Guided Solutions Counseling LLC
• Patricia Jagelski, RPH
• Tomasz Kaczor, PHARMD
• Agnes F Kaspa
• Kei
• Joanna Lucja Kmiecik, M.D.

• All providers in Harwood Heights, IL
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.

Verify at the official NPI Registry.