The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Stafford and Virginia

28 active clinicians are listed under Dentist - General Practice with a practice address in Stafford, VA (3,366 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Stafford

0% of these 28 clinicians have the CMS telehealth indicator.

0% of these 28 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-01-22

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES VA 0401419478

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.

Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed

Dr. Jim Misto , DDS

Dentist

NPI 1710035233

Doctor of Dental Surgery

Dr. Marcus Sur , DDS

Dentist - General Practice

NPI 1194160374

Doctor of Dental Surgery

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events

📍

Updated Practice Location January 22, 2026

Registered at 481 GARRISONVILLE RD STE 105, STAFFORD, VA 225541601 (Tel: 5402039974)

📍

Updated Business Mailing Address January 22, 2026

Registered at 481 GARRISONVILLE RD STE 105, STAFFORD, VA 225541601 (Tel: 5402039974)

👤

Provider Name / Credentials Updated January 22, 2026

Recorded as AMMAR HASAN, DDS

📍

Updated Practice Location October 29, 2025

Registered at 16820 DUMFRIES RD STE 110, DUMFRIES, VA 220252055 (Tel: 7032324938)

📍

Updated Business Mailing Address October 29, 2025

Registered at 16820 DUMFRIES RD STE 110, DUMFRIES, VA 220252055

👤

Provider Name / Credentials Updated October 29, 2025

Recorded as AMMAR HASAN, DA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2025

Dentist (license number reported to NPPES: VA 0401419478)

🔄

NPI Profile Reactivated October 24, 2025

Record officially reactivated for active practice on October 24, 2025

⚠️

NPI Profile Deactivated July 29, 2021

NPPES lists this NPI as deactivated as of July 29, 2021; the reason is not published.

✅

NPI Profile Active May 06, 2019

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) May 06, 2019

Registered at 1631 WETZEL AVE BLDG 815, FORT CARSON, CO 809134095 (Tel: 7195265537)

📍

Business Mailing Address (Initial Record) May 06, 2019

Registered at 1631 WETZEL AVE BLDG 815, FORT CARSON, CO 809134095

👤

Provider Name / Credentials (Initial Record) May 06, 2019

Recorded as AMMAR HASAN, DA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2019

Dental Assistant

🟢

Initial NPI Registration & Enumeration May 06, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1013572023

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 06, 2019

Last Update: January 22, 2026

Sole Proprietor: No

Update or Correct Profile

Other Dentist - General Practices in Stafford

Healthcare providers in Stafford

Mailing Address

481 Garrisonville Rd Ste 105

Stafford, VA 225541601

Phone: 5402039974

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.