Individual provider Active NPI

Hasnain Abbas, DDS, BDS

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1669024295
Registry record updated Aug 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35584 Issued in TX
Practice address
1418 S Buckner Blvd
Dallas, TX 75217-1703
Phone
(972) 663-5380
Fax
(972) 663-5280
NPI assigned
Jul 13, 2019
Last updated
Aug 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 35584 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

1418 S Buckner Blvd
Dallas, TX 75217-1703

Mailing address

3030 LBJ Fwy Ste 1400
Dallas, TX 75234-2766
Phone (972) 663-5301

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

LicenseStateTypeSpecialty
35584TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1562976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565481600000",
    "number": "1669024295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 LBJ FWY STE 1400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752342766",
            "telephone_number": "972-663-5301",
            "fax_number": "972-663-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 S BUCKNER BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752171703",
            "telephone_number": "972-663-5380",
            "fax_number": "972-663-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBAS",
        "first_name": "HASNAIN",
        "credential": "DDS, BDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-13",
        "last_updated": "2019-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35584",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.