Mohamed Amin Hassan, D.D.S, M.S

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

43345 Issued in CA

Practice address

12900 Perris Blvd
Suite # 102
Moreno Valley, CA 92553-4135

Phone

(951) 242-4944

Fax

(951) 242-8668

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 6, 2016 through Oct 6, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Interoperability endpoints

• Direct secure messaging: mhassan@direct.westerndental.com

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548365067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 PERRIS BLVD",
            "address_2": "SUITE # 102",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925534135",
            "telephone_number": "951-242-4944",
            "fax_number": "951-242-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 PERRIS BLVD",
            "address_2": "SUITE # 102",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925534135",
            "telephone_number": "951-242-4944",
            "fax_number": "951-242-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "MOHAMED",
        "middle_name": "AMIN",
        "credential": "D.D.S, M.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "43345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Montee Harriss, BA,BS
• Harry Karna D.D.S., a Professional Corporation
• Nicholas Allan Harryman, DO
• Kimberlee Harvey
• Bushra Zaidi Hasan, NP
• Rosie Hatchkhan
• Wadih Antony Hawat, D.O.
• Rebecca Marie Hawkey
• Terrie Hawthorne, MSW
• Ezabelle Hayek, DMD

• Periodontics in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Periodontics in California

• 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.