Active NPI
Mohamed Magdi Hassan, B.D.S.
- Pediatric Dentistry
- Holyoke, MA
National Provider Identifier
1881901262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DL11109
- Practice address
- 230 Maple St
Holyoke, MA 01040-5144 - Phone
- (413) 420-2210
- NPI assigned
- Sep 8, 2010
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DL11109 | MA | Primary |
Addresses
Primary practice location
230 Maple St
Holyoke, MA 01040-5144
Mailing address
1330 Boylston St
Unit 1119
Boston, MA 02215-4229
Phone (617) 735-5291
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 |
|---|---|---|---|
| DL11109 | MA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283904000000",
"number": "1881901262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 BOYLSTON ST",
"address_2": "UNIT 1119",
"city": "BOSTON",
"state": "MA",
"postal_code": "022154229",
"telephone_number": "617-735-5291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 MAPLE ST",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010405144",
"telephone_number": "413-420-2210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSAN",
"first_name": "MOHAMED",
"middle_name": "MAGDI",
"name_prefix": "Dr.",
"credential": "B.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-08",
"last_updated": "2010-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MA",
"license": "DL11109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holyoke, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.