HASSAN M. DEZHAM DDS
NPI 1700920824
Dentist in Sacramento, CA

Q: What is Hassan Dezham's NPI number?

The NPI number for Hassan Dezham is 1700920824. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Q: What is Hassan Dezham's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Hassan Dezham was last updated on January 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 20, 2007PECOS Enrolled

3009 K ST STE 255, SACRAMENTO, CA 95816(916) 441-3311(916) 441-0630 Get Directions Write a Review

NPPES record last updated: January 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Hassan M. Dezham Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HASSAN M. DEZHAM DDS (NPI 1700920824) is an individual dentist in Sacramento, California, licensed in California (52801) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700920824

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameHASSAN M. DEZHAMCredential: DDS

Location Address3009 K ST STE 255Sacramento, CA 95816-5252

Mailing Address3009 K St Ste 255Sacramento, CA 95816-5252 · (916) 441-3311 · Fax (916) 441-0630

Phone(916) 441-3311

Fax(916) 441-0630

Sole ProprietorYes

Enumeration DateFebruary 20, 2007

Last NPPES UpdateJanuary 13, 2020

✔ NPI 1700920824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 52801

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3009 K ST STE 255, Sacramento, CA 95816

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hassan M. Dezham Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95816 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

A MIRACLE SMILE BY DR. DEZHAM DENTAL GROUP INC.

Dentist

3009 K ST STE 255
SACRAMENTO, CA 95816

Sacramento County (916) 441-3311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hassan Dezham's NPI number?

The NPI number for Hassan Dezham is 1700920824. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Where is Hassan Dezham located?

Hassan Dezham practices at 3009 K St Ste 255, Sacramento, CA 95816. The listed phone number is (916) 441-3311.

What is Hassan Dezham's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Hassan Dezham enrolled in Medicare?

Yes. Hassan Dezham is registered in the Medicare PECOS enrollment system.

What insurance does Hassan Dezham accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Hassan Dezham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hassan Dezham was last updated on January 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.