Active NPI
Ali Hassan
- Dentist
- Indian Land, SC
National Provider Identifier
1871295451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11067
- Practice address
- 7748 Charlotte Hwy
Indian Land, SC 29707-9654 - Phone
- (803) 746-4033
- NPI assigned
- Mar 20, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 11067 | SC | Primary |
Addresses
Primary practice location
7748 Charlotte Hwy
Indian Land, SC 29707-9654
Mailing address
380 Ginsberg Rd
Rock Hill, SC 29732-3628
Phone (832) 462-9395
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 |
|---|---|---|---|
| 11067 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747008000000",
"number": "1871295451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 GINSBERG RD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297323628",
"telephone_number": "832-462-9395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7748 CHARLOTTE HWY",
"city": "INDIAN LAND",
"state": "SC",
"postal_code": "297079654",
"telephone_number": "803-746-4033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSAN",
"first_name": "ALI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-20",
"last_updated": "2025-05-12",
"certification_date": "2025-05-12",
"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": "SC",
"license": "11067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indian Land, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.