Active NPI
Alabbas Hussain, DMD
- Endodontics
- Hawthorne, CA
National Provider Identifier
1790200160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 10957
- Practice address
- 4277 W El Segundo Blvd
Hawthorne, CA 90250-4548 - Phone
- (310) 970-0900
- NPI assigned
- Aug 7, 2017
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 101809 | CA | |
| Endodontics | 1223E0200X | 10957 | NC | Primary |
Addresses
Primary practice location
4277 W El Segundo Blvd
Hawthorne, CA 90250-4548
Mailing address
572 Sandhurst Dr
Fayetteville, NC 28304-4426
Phone (910) 485-3636
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 |
|---|---|---|---|
| 101809 | CA | MD | Dentist |
| 10957 | NC | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suren Paravyan, DMD, MD, MSD, PA | Endodontics | Current | Accepting new patients |
| Alabbas Hussain DMD PLLC | Endodontics | Current | Accepting new patients |
| Heydar Shahrokh DDS Inc | Dentist | Past | Accepting new patients |
Locations
572 Sandhurst Dr
Fayetteville, NC 28304
Phone (910) 485-3636
Organizations & group practices 3
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.
-
dba Sandhills Endodontics
- Endodontics
- Fayetteville, NC
- NPI 1679961148
-
- Dentist
- Hawthorne, CA
- NPI 1700240793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1790200160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "572 SANDHURST DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044426",
"telephone_number": "910-485-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4277 W EL SEGUNDO BLVD",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902504548",
"telephone_number": "310-970-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSAIN",
"first_name": "ALABBAS",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "U",
"enumeration_date": "2017-08-07",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "101809",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NC",
"license": "10957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.