Hassan M. Dezham, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

52801 Issued in CA

Practice address

3009 K St Ste 255
Sacramento, CA 95816-5252

Phone

(916) 441-3311

Fax

(916) 441-0630

NPI assigned

Feb 20, 2007

Last updated

Jan 13, 2020By the provider in NPPES

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 CA

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

Practice roles

Locations

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.

• A Miracle Smile by Dr. Dezham Dental Group

  • Dentist
  • Sacramento, CA
  • NPI 1770775447
  NPD (past) Authorized official
• A Miracle Smile by Dr. Dezham Dental Group Inc.

  • Dentist
  • Sacramento, CA
  • NPI 1750914016
  NPD
• Smiley Dental Sheperd PLLC

  dba Smiley Dental

  • General Practice Dentistry
  • Balch Springs, TX
  • NPI 1851618409
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1700920824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 K ST STE 255",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165252",
            "telephone_number": "916-441-3311",
            "fax_number": "916-441-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 K ST STE 255",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165252",
            "telephone_number": "916-441-3311",
            "fax_number": "916-441-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEZHAM",
        "first_name": "HASSAN",
        "middle_name": "M.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "52801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Riley Dexter, D.D.S.
• Suzanne Dexter, MHRS
• Deyi Zheng M.D., Inc.
• Melissa Deyo, MS
• Claudia A. Deyoung, MD
• Prabhjot Dhadda, FNP
• Parminder Kaur Dhadly
• Sukhdeep Dhadwal
• Nilsa Dhaiti
• Samiksha Dhakal

• Dentist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.