Active NPI
Ambreen Hasan, DDS
- Dentist
- Palatine, IL
National Provider Identifier
1437201381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019026937
- Practice address
- 1196 E. Dundee Rd
Palatine, IL 60074 - Phone
- (847) 716-3100
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- 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 | 019026937 | IL | Primary |
Addresses
Primary practice location
1196 E. Dundee Rd
Palatine, IL 60074
Mailing address
37 Lake Adalyn Dr
South Barrington, IL 60010-9542
Phone (224) 655-2470
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019026937 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1437201381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 LAKE ADALYN DR",
"city": "SOUTH BARRINGTON",
"state": "IL",
"postal_code": "600109542",
"telephone_number": "224-655-2470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1196 E. DUNDEE RD",
"city": "PALATINE",
"state": "IL",
"postal_code": "60074",
"telephone_number": "847-716-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASAN",
"first_name": "AMBREEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019026937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palatine, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.