Active NPI
Dalia Hasso, DDS
- Dentist
- Sterling Heights, MI
National Provider Identifier
1437715026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901600199
- Practice address
- 3801 Metropolitan Pkwy
Sterling Heights, MI 48310-3710 - Phone
- (586) 275-7667
- NPI assigned
- May 19, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 2901600199 | MI | Primary |
Addresses
Primary practice location
3801 Metropolitan Pkwy
Sterling Heights, MI 48310-3710
Mailing address
170 Charrington CT
Beverly Hills, MI 48025-5604
Phone (419) 280-8367
Other practice location 1
11900 E 12 Mile Rd
Warren, MI 48093-3400
Phone (313) 499-4962
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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 |
|---|---|---|---|---|
| I20190726001859 | MI | Order and Referring Only - Dentist | 0345576427 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655510400000",
"number": "1437715026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 CHARRINGTON CT",
"city": "BEVERLY HILLS",
"state": "MI",
"postal_code": "480255604",
"telephone_number": "419-280-8367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 METROPOLITAN PKWY",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483103710",
"telephone_number": "586-275-7667"
}
],
"practiceLocations": [
{
"address_1": "11900 E 12 Mile Rd",
"address_purpose": "LOCATION",
"city": "Warren",
"state": "MI",
"postal_code": "480933400",
"country_code": "US",
"telephone_number": "313-499-4962",
"fax_number": "313-499-4953",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASSO",
"first_name": "DALIA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-19",
"last_updated": "2022-06-18",
"certification_date": "2022-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901600199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2022; 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.