Mohamed Hassan, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15717 Issued in MD

Practice address

201 Wise Ave
Baltimore, MD 21222-4943

Phone

(410) 288-1162

Fax

(443) 219-3078

NPI assigned

Aug 28, 2014

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• M Gaber Hassan Corp

  • Dental Clinic/Center
  • Baltimore, MD
  • NPI 1649821471
  NPD Authorized official
• Family Dental of Toms River

  • General Practice Dentistry
  • Toms River, NJ
  • NPI 1992781249
  NPD (past)

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1548660475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WISE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212224943",
            "telephone_number": "410-288-1162",
            "fax_number": "443-219-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WISE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212224943",
            "telephone_number": "410-288-1162",
            "fax_number": "443-219-3078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2224 Highway 37 E",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087536000",
            "country_code": "US",
            "telephone_number": "732-270-5566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "MOHAMED",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-28",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Haspel, MSW, LCSW-C
• Tarek Hassab
• Sina Hassan Beygi Monfared, MD
• Abdirahman Hassan, MBBCHB
• Emaan Hassan, MD
• Najma Sharif Hassan, MBBCHB
• Wessam Hassanein
• Alexandra Louise Hassani
• Brian Hasselfeld, M.D.
• Paul Hassoun, M.D.

• General Practice Dentistry in Baltimore, MD
• Providers in Baltimore, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.