Active NPI
Dustin Lance Hassard, LMT
- Massage Therapist
- Sammamish, WA
National Provider Identifier
1891452322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61080499
- Practice address
- 4425 Issaquah Pine Lake Rd SE Apt G32
Sammamish, WA 98075-6249 - Phone
- (425) 659-3456
- NPI assigned
- Nov 18, 2021
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA61080499 | WA | Primary |
Addresses
Primary practice location
4425 Issaquah Pine Lake Rd SE Apt G32
Sammamish, WA 98075-6249
Mailing address
4425 Issaquah Pine Lake Rd SE Apt G32
Sammamish, WA 98075-6249
Phone (212) 203-6110
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 |
|---|---|---|---|
| MA61080499 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1891452322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 ISSAQUAH PINE LAKE RD SE APT G32",
"city": "SAMMAMISH",
"state": "WA",
"postal_code": "980756249",
"telephone_number": "212-203-6110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 ISSAQUAH PINE LAKE RD SE APT G32",
"city": "SAMMAMISH",
"state": "WA",
"postal_code": "980756249",
"telephone_number": "425-659-3456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSARD",
"first_name": "DUSTIN",
"middle_name": "LANCE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-18",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA61080499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sammamish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.