Active NPI
Angie Hasan Hasan
- Dentist
- Plano, TX
National Provider Identifier
1710242672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 28911
- Practice address
- 3225 Bandolino LN
Plano, TX 75075-1749 - Phone
- (952) 303-1352
- NPI assigned
- Jul 6, 2012
- Sex
- Female
- 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 | 28911 | TX | Primary |
Addresses
Primary practice location
3225 Bandolino LN
Plano, TX 75075-1749
Mailing address
3225 Bandolino LN
Plano, TX 75075-1749
Phone (952) 303-1352
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20160404002153 | TX | Order and Referring Only - Dentist | 3870807316 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28911 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380758400000",
"number": "1710242672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3225 BANDOLINO LN",
"city": "PLANO",
"state": "TX",
"postal_code": "750751749",
"telephone_number": "952-303-1352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3225 BANDOLINO LN",
"city": "PLANO",
"state": "TX",
"postal_code": "750751749",
"telephone_number": "952-303-1352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASAN",
"first_name": "ANGIE",
"middle_name": "HASAN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-06",
"last_updated": "2013-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "28911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.