Individual provider Active NPI

Amel Hassan

  • General Practice Dentistry
  • Port Richey, FL
National Provider Identifier
1558770016
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN23853 Issued in FL
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

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DN23853FLMDGeneral 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.

Verify at the official NPI Registry.