Active NPI
Umer Hasan, DDS
- Pediatric Dentistry
- Mesa, AZ
National Provider Identifier
1598529976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D012928
- Practice address
- 3528 S Signal Butte Rd Ste 101
Mesa, AZ 85212-4229 - Phone
- (480) 447-6724
- NPI assigned
- Feb 7, 2024
- Last updated
- Sep 18, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | D012928 | AZ | Primary |
Addresses
Primary practice location
3528 S Signal Butte Rd Ste 101
Mesa, AZ 85212-4229
Mailing address
2849 E Athena CT
Gilbert, AZ 85297-8143
Other practice location 1
835 S Gilbert Rd Ste 105
Gilbert, AZ 85296-2980
Phone (480) 954-2517
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D012928 | AZ | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signal Butte Kids Dentistry and Orthodontics 2, LLP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Signal Butte Kids' Dentistry and Orthodontics
- General Practice Dentistry
- Mesa, AZ
- NPI 1811829310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1598529976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2849 E ATHENA CT",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852978143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3528 S SIGNAL BUTTE RD STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852124229",
"telephone_number": "480-447-6724"
}
],
"practiceLocations": [
{
"address_1": "835 S Gilbert Rd Ste 105",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852962980",
"country_code": "US",
"telephone_number": "480-954-2517",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASAN",
"first_name": "UMER",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-07",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "AZ",
"license": "D012928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.