Active NPI
Amel Hassan
- General Practice Dentistry
- Port Richey, FL
National Provider Identifier
1558770016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN23853
- Practice address
- 10806 US Highway 19 Ste 101
Port Richey, FL 34668-2563 - Phone
- (727) 853-6905
- NPI assigned
- Aug 9, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019029996 | IL | |
| General Practice Dentistry | 1223G0001X | DN23853 | FL | Primary |
Addresses
Primary practice location
10806 US Highway 19 Ste 101
Port Richey, FL 34668-2563
Mailing address
18148 Canal Pointe St
Tampa, FL 33647-3311
Phone (309) 922-5500
Other practice location 1
10806 US Highway 19 Ste 101
Port Richey, FL 34668-2563
Phone (727) 853-6905
Other practice location 2
10806 US Highway 19 Ste 101
Port Richey, FL 34668-2563
Phone (727) 853-6905
Other practice location 3
10806 US Highway 19 Ste 101
Port Richey, FL 34668-2563
Phone (727) 853-6905
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN23853 | FL | MD | General Practice Dentistry |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563408000000",
"number": "1558770016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18148 CANAL POINTE ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336473311",
"telephone_number": "309-922-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10806 US HIGHWAY 19 STE 101",
"city": "PORT RICHEY",
"state": "FL",
"postal_code": "346682563",
"telephone_number": "727-853-6905"
}
],
"practiceLocations": [
{
"address_1": "10806 US Highway 19 Ste 101",
"address_purpose": "LOCATION",
"city": "Port Richey",
"state": "FL",
"postal_code": "346682563",
"country_code": "US",
"telephone_number": "727-853-6905",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10806 US Highway 19 Ste 101",
"address_purpose": "LOCATION",
"city": "Port Richey",
"state": "FL",
"postal_code": "346682563",
"country_code": "US",
"telephone_number": "727-853-6905",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10806 US Highway 19 Ste 101",
"address_purpose": "LOCATION",
"city": "Port Richey",
"state": "FL",
"postal_code": "346682563",
"country_code": "US",
"telephone_number": "727-853-6905",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASSAN",
"first_name": "AMEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-09",
"last_updated": "2019-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019029996",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN23853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.