Individual provider Active NPI

Hassan El Hassan, DDS

  • Dentist
  • Huntington, WV
National Provider Identifier
1790307247
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
T005 Issued in WV
Practice address
1616 13TH Ave Ste 200
Huntington, WV 25701-3840
Phone
(304) 691-1824
NPI assigned
May 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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
Dentist 122300000X T005 WV Primary

Addresses

Primary practice location

1616 13TH Ave Ste 200
Huntington, WV 25701-3840

Mailing address

1616 13TH Ave Ste 200
Huntington, WV 25701-3840
Phone (304) 691-1824

Other practice location 1

1423 3rd Ave
Huntington, WV 25701-1614
Phone (304) 429-1088

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Hassan.elhassan@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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

Enrollment IDStateProvider typePAC IDDetails
I20220301001145 WV Order and Referring Only - DentistPractitioner - Dentist 3274927660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc Dentist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hassan.elhassan@marshall.cernerdirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1790307247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 13TH AVE STE 200",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013840",
            "telephone_number": "304-691-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 13TH AVE STE 200",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013840",
            "telephone_number": "304-691-1824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1423 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257011614",
            "country_code": "US",
            "telephone_number": "304-429-1088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EL HASSAN",
        "first_name": "HASSAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-07",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "T005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Hassan.elhassan@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1616 13th Ave Ste 200",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.