David M. Bass, M.D., P.C.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

016246 Issued in CT

Legal business name

DAVID M. BASS, M.D., P.C.

Practice address

85 Seymour Street
Suite 718
Hartford, CT 06106

Phone

(860) 247-3479

Fax

(860) 522-6713

NPI assigned

Mar 2, 2012

Last updated

Mar 2, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Martin Bass, M.D.NPI 1497722300

Title

President

Phone

(860) 247-3479

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Martin Bass, M.D.

  • Specialist
  • Hartford, CT
  • NPI 1497722300

  Plastic and Reconstructive Surgery

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1013281443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR STREET",
            "address_2": "SUITE 718",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06106",
            "telephone_number": "860-247-3479",
            "fax_number": "860-522-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR STREET",
            "address_2": "SUITE 718",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06106",
            "telephone_number": "860-247-3479",
            "fax_number": "860-522-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. BASS, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-247-3479",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "CT",
            "license": "016246",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CT",
            "license": "016246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001162460",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bliss Dasilva, AGACNP-BC
• Emily Virginia Daskal, PA-C
• Lawrence Daskal, LCSW
• Jennifer L. Dauphinais, RD
• Brooke Tether Davey, M.D.
• Zev Hillel Davidovics, M.D.
• Andrew C Davidson, M.D.
• Miguel Davila, D.M.D.
• Rozalyn Davila, LPC
• Christina Davilli-Thomson, MSPT

• Plastic and Reconstructive Surgery Physician in Hartford, CT
• Providers in Hartford, CT by specialty
• Plastic and Reconstructive Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.