Hasan Dbouk, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE 60168441 Issued in WA

Practice address

10351 NE 10TH St
Apt #1112
Bellevue, WA 98004-4613

Phone

(909) 800-2411

NPI assigned

Dec 16, 2010

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

Enrolled in WA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1578866398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10351 NE 10TH ST",
            "address_2": "APT #1112",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044613",
            "telephone_number": "909-800-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10351 NE 10TH ST",
            "address_2": "APT #1112",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044613",
            "telephone_number": "909-800-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DBOUK",
        "first_name": "HASAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-16",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE 60168441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristopher M. Day, MD, FACS
• Sarah Jian Day
• Amado Daylo, M.D.
• Julian Seth Dayton, PSYD
• Paul Curtis Dayton
• DBT Eastside
• Angelica De Anda, LMHC, CMHS
• Maria De Costa, LSWAIC
• Jennifer J De Jong, CCC-SLP
• Patricia Maria De la Rivaherrera

• Dentist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.

Verify at the official NPI Registry.