Active NPI
Ahmad Hassan, DDS
- Dentist
- Lima, OH
National Provider Identifier
1669111241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30.026857
- Practice address
- 2115 Allentown Rd
Lima, OH 45805-1749 - Phone
- (419) 863-5483
- NPI assigned
- Jun 1, 2022
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 30.026857 | OH | Primary |
Addresses
Primary practice location
2115 Allentown Rd
Lima, OH 45805-1749
Mailing address
2115 Allentown Rd
Lima, OH 45805-1749
Phone (419) 863-5483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220714002157 | OH | Order and Referring Only - Dentist | 2466833959 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1669111241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 ALLENTOWN RD",
"city": "LIMA",
"state": "OH",
"postal_code": "458051749",
"telephone_number": "419-863-5483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 ALLENTOWN RD",
"city": "LIMA",
"state": "OH",
"postal_code": "458051749",
"telephone_number": "419-863-5483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSAN",
"first_name": "AHMAD",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-01",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.026857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.