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Massara Hasan

NPI 1063084465ActiveIndividual· Dentist· Columbia Heights, MN

Dentist in Columbia Heights, Minnesota, licensed in MN and IL, with an NPI issued in July 2021.

Overview

NPI1063084465
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJul 14, 2021
Last updated in NPPESJan 13, 2022
Certified by providerJan 13, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000XD14681MN
Dentist122300000X019.033236IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Dentist providers in Columbia Heights

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