Adnan Hasona, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN19365 Issued in FL

Practice address

9978 Old Baymeadows Rd Ste 1
Jacksonville, FL 32256-7960

Phone

(904) 645-5015

NPI assigned

Jun 28, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1881980928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11614 ALEXIS FOREST DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582593",
            "telephone_number": "904-614-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9978 OLD BAYMEADOWS RD STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567960",
            "telephone_number": "904-645-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASONA",
        "first_name": "ADNAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003730900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Thomas Hash, D.O.
• Terry Dale Hashey, D.O.
• Yusuke Hashimoto
• Molly Haskell, MSW
• Rashida J Haslem
• Lauren Juliette Hassan Nelson, DO
• Razan Hassan, MD
• Tamer N Hassan, MD
• Carl David Hassel, MD
• Christina Ann Hassert, PA-T

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.