Active NPI
Nadder Hassan, DDS
- Dentist
- Manassas, VA
National Provider Identifier
1780959411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 401413855
- Practice address
- 9954 Liberia Ave
Manassas, VA 20110-7052 - Phone
- (703) 335-1020
- Fax
- (703) 335-2384
- NPI assigned
- Mar 13, 2012
- Sex
- Male
- Sole proprietor
- No
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 | 401413855 | VA | Primary |
Addresses
Primary practice location
9954 Liberia Ave
Manassas, VA 20110-7052
Mailing address
9954 Liberia Ave
Manassas, VA 20110-7052
Phone (703) 335-1020
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
| License | State | Type | Specialty |
|---|---|---|---|
| 401413855 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nadder Hassan DDS PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Manassas, VA
- NPI 1548666357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444867200000",
"number": "1780959411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9954 LIBERIA AVE",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201107052",
"telephone_number": "703-335-1020",
"fax_number": "703-335-2384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9954 LIBERIA AVE",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201107052",
"telephone_number": "703-335-1020",
"fax_number": "703-335-2384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSAN",
"first_name": "NADDER",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-13",
"last_updated": "2015-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "401413855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.