Individual provider Active NPI

Kareem Ibrahim Galal Hassan, DDS

  • Student in an Organized Health Care Education/Training Program
  • Charlotte, NC
National Provider Identifier
1720970395
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
151482 Issued in NC
Practice address
1601 Abbey PL Ste 220
Charlotte, NC 28209-3825
Phone
(704) 512-2110
NPI assigned
Jul 17, 2025
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 151482 NC Primary
Dentist 122300000X 151482 NC

Addresses

Primary practice location

1601 Abbey PL Ste 220
Charlotte, NC 28209-3825

Mailing address

1440 Harding PL Apt 621
Charlotte, NC 28204-0046
Phone (704) 512-2110

Other practice location 1

1440 Harding Pl
Charlotte, NC 28204-6501
Phone (704) 512-2110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251022000352 NC Order and Referring Only - Maxillofacial SurgeryPractitioner - Maxillofacial Surgery 0446748420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
151482NCMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1720970395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 HARDING PL APT 621",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282040046",
            "telephone_number": "704-512-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 ABBEY PL STE 220",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093825",
            "telephone_number": "704-512-2110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1440 Harding Pl",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282046501",
            "country_code": "US",
            "telephone_number": "704-512-2110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "KAREEM IBRAHIM GALAL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "151482",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "151482",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.