DR. HASSAN ISMAIL (NPI# 1285786293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285786293 |
| Entity Type | Individual |
| Full Name | DR. HASSAN ISMAIL |
| Credential | DDS |
| Practice Address |
1090 Shingle Creek Crossing Aspen Dental Brooklyn Center MN 55340 |
| Mailing Address |
1090 Shingle Creek Crossing Aspen Dental Brooklyn Center MN 55430 |
| Practice Telephone | 6515837256 |
| Mailing Telephone | 6515837256 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2015-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D12061 | MN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICAL ASSISTANCE NUMBER | 611890900 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316583602 | Hassan A Ismail | Pharmacist | 15301 Normandale St, Dearborn, MI 48126-3025 | 2019-11-21 |
| 1881687861 | Hassan M Ismail | Internal Medicine | 4160 John R St, Suite 510, Detroit, MI 48201-2020 | 2005-08-25 |
| Street Address |
1090 SHINGLE CREEK CROSSING ASPEN DENTAL |
| City | BROOKLYN CENTER |
| State | MN |
| Zip Code | 55340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689038473 | Dental Consultants LLC | Dentist | 1090 Shingle Creek Crossing, Brooklyn Center, MN 55430 | 2016-04-08 |
| 1548502206 | Daya Srinivasan | Dentist | 1090 Shingle Creek Crossing, Brooklyn Center, MN 55430 | 2013-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093840431 | Richard Leif Johnson | Chiropractor | 20010 75th Avenue North, Corcoran, MN 55340 | 2007-02-23 |
| 1396850558 | Fortin Health & Wellness Clinic, Pa | Chiropractor | 149 Hamel Road, Hamel, MN 55340 | 2006-08-20 |
| 1154943199 | Augustana Senior Development II | Assisted Living Facility | 4350 Chippewa Ct, Medina, MN 55340-4013 | 2020-05-13 |
| 1851777239 | Shelly Jean Blanchard | Marriage & Family Therapist | 6552 Carriage Way, Corcoran, MN 55340-4443 | 2015-08-07 |
| 1841766904 | Amy B Johnson | Social Worker | 6552 Carriage Way, Corcoran, MN 55340-4443 | 2018-10-16 |
| 1669005948 | Kevin Charles Carlson | Nurse Practitioner | 19303 Sorrel Ct, Corcoran, MN 55340-4447 | 2020-02-14 |
| 1841641933 | Kari Anna Hultgren | Physician Assistant | 170 Prairie Creek Rd, Medina, MN 55340-4505 | 2016-06-29 |
| 1922526334 | All Smiles Dental Pa | Dentist | 212 Clydesdale Trl, Medina, MN 55340-4513 | 2017-09-06 |
| 1093768475 | Jeffrey A Ristau | Pharmacist | 300 Clydesdale Trl, T-2223, Medina, MN 55340-4538 | 2006-05-18 |
| 1649616103 | Daniel Peter Drontle | Pharmacist | 300 Clydesdale Trl, Medina, MN 55340-4538 | 2013-05-10 |
| Find all providers in zip 55340 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487131488 | Sydney Rae Mcphillips | Dentist | 1090 Shingle Creek Xing, Brooklyn Center, MN 55430-2684 | 2018-07-23 |
| 1649444563 | Lloyd J. Weber | Dentist | 5831 Brooklyn Blvd., Brooklyn Center, MN 55429 | 2008-04-22 |
| 1265655963 | William Sam Kotonias | Dentist | 5831 Brooklyn Blvd, Brooklyn Center, MN 55429 | 2007-04-11 |
| 1447396759 | Eric R. Mintalar | Dentist | 3220 County Road 10, Brooklyn Center, MN 55429-3073 | 2007-01-30 |
| 1518033695 | Pdg,p.a. | Dentist | 6437 Brooklyn Blvd, Brooklyn Center, MN 55429-2174 | 2006-11-28 |
| 1114038247 | Patrick J Mcgann | Dentist | 5901 John Martin Dr, Brooklyn Center, MN 55430 | 2006-08-31 |
| 1235104530 | Jeffrey Scott Stefani | Dentist | 512 66th Ave N, Brooklyn Center, MN 55430-1643 | 2006-02-21 |
| 1245229228 | Chris Edward Lawther | Dentist | 6300 Shingle Creek Pkwy, #250, Brooklyn Center, MN 55430-2124 | 2005-10-20 |
| 1801324843 | Jagadish Marahatta | Dentist | 512 66th Ave N, Brooklyn Center, MN 55430-1643 | 2017-06-02 |
| 1689038473 | Dental Consultants LLC | Dentist | 1090 Shingle Creek Crossing, Brooklyn Center, MN 55430 | 2016-04-08 |
| Find all providers in BROOKLYN CENTER | ||||
| City | BROOKLYN CENTER |
| Zip Code | 55340 |
Please comment or provide details below to improve the information on DR. HASSAN ISMAIL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.