Nitchel Bastien

Primary specialty

DentistTaxonomy code 122300000X

License

16898 Issued in MD

Practice address

983 Waugh Chapel Way Ste E
Gambrills, MD 21054-1261

Phone

(410) 697-1360

NPI assigned

Apr 22, 2014

Last updated

Oct 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Haven Family and Cosmetic Dentistry LLC

  • Dental Clinic/Center
  • Gambrills, MD
  • NPI 1346093457
  NPD Authorized official

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1013337625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "983 WAUGH CHAPEL WAY STE E",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541261",
            "telephone_number": "410-697-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 WAUGH CHAPEL WAY STE E",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541261",
            "telephone_number": "410-697-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTIEN",
        "first_name": "NITCHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2024-10-04",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "16898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ati Holdings, LLC
• Bruce Auslander, D.D.S.
• Kimia Azari
• Olga Baczara, DMD
• Antonino Barbaro, DDS
• Ziad E Batrouni, D.D.S.
• Merritt Leigh Baumgartner, PA-C
• Erice Baylor
• Myrna Ellen Bein, R.N.
• Bellamy Family Dentistry, LLC

• Dentist in Gambrills, MD
• Providers in Gambrills, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.