Hasan Harris, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

109352 Issued in CA

Practice address

12420 Day St Ste B4
Moreno Valley, CA 92553-7536

Phone

(951) 656-6538

NPI assigned

Sep 11, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Hasan Harith Khalid Al Khuzae Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1659158863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23031 S WATERLILY DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774068623",
            "telephone_number": "128-143-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12420 DAY ST STE B4",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925537536",
            "telephone_number": "951-656-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "HASAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-11",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "109352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HASAN",
            "last_name": "AL KHUZAE",
            "middle_name": "HARITH KHALID",
            "prefix": "DR.",
            "credential": "AL KHUZAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marie Chantal Hansen, MS, MFTI
• Tara C Haque
• Dyala Harb, OD
• Terresta Chavon Harper
• Gary Harris
• Krista Marie Harris, PA-C
• Kurt Harris, PA-C
• Nikkole Harris
• Talesha Harris, RN
• James Alvin Harrison, M.D.

• Dentist in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.

Verify at the official NPI Registry.