Active NPI
Hassan Khan, DMD, MBE
- Orthodontics and Dentofacial Orthopedics Dentistry
- Brooklyn, NY
National Provider Identifier
1902376593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 062148
- Practice address
- 76 N 4TH St # C2
Brooklyn, NY 11249-3150 - Phone
- (347) 384-7847
- NPI assigned
- Nov 27, 2018
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 062148 | NY | Primary |
Addresses
Primary practice location
76 N 4TH St # C2
Brooklyn, NY 11249-3150
Mailing address
2 Ash St Apt 311
Jersey City, NJ 07304-4336
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 |
|---|---|---|---|
| 062148 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Dental, LLC | Past | Accepting new patients |
Interoperability endpoints
- hmk7002@direct.nyp.org
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Philadelphia, PA
- NPI 1255619920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1902376593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 ASH ST APT 311",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073044336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 N 4TH ST # C2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112493150",
"telephone_number": "347-384-7847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "HASSAN",
"name_prefix": "Dr.",
"credential": "DMD, MBE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-27",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "062148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.