Vincent Hathaway

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16271 Issued in MD

Practice address

8730 Georgia Ave Ste 308
Silver Spring, MD 20910-3650

Phone

(240) 696-7842

NPI assigned

Jul 7, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Soul Smiles

  • General Practice Dentistry
  • Hyattsville, MD
  • NPI 1245983261
  NPD Authorized official
• Soul Smiles LLC

  • Dental Clinic/Center
  • Silver Spring, MD
  • NPI 1356105407
  NPD Authorized official
• Tidewater LLC

  • Dentist
  • Prince Frederick, MD
  • NPI 1306359054
  NPD (past)

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1881046449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8730 GEORGIA AVE STE 308",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8730 GEORGIA AVE STE 308",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103650",
            "telephone_number": "240-696-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "VINCENT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-07",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "16271",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "16271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moustafa M Hassan, M.D.
• Baseema Hassen
• Rabiya Hassen
• Elizabeth Anne Hatch
• Bachu Tadese Hatehu
• Kenneth William Hauck, M.D.
• Christopher Zosangliana Hauzel, DPT, PT
• Lisa Hawkins-Eidson, PHD
• I-Sha Hawkins
• Keltie Hawkins, LCSW-C

• General Practice Dentistry in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.