Active NPI
Sabrina Latrice Basley, R.D.H
- Dental Hygienist
- Detroit, MI
National Provider Identifier
1023399607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2902015255
- Practice address
- 7633 E Jefferson Ave Ste 70
Detroit, MI 48214-3730 - Phone
- (313) 499-4775
- NPI assigned
- Sep 8, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2902015255 | MI | Primary |
Addresses
Primary practice location
7633 E Jefferson Ave Ste 70
Detroit, MI 48214-3730
Mailing address
8630 N Inkster Rd Apt 105
Dearborn Heights, MI 48127-1066
Phone (313) 587-2873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2902015255 | MI | MD | Dental Hygienist |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GCBDCD/Endpoint/GCBDCD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315440000000",
"number": "1023399607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8630 N INKSTER RD APT 105",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481271066",
"telephone_number": "313-587-2873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7633 E JEFFERSON AVE STE 70",
"city": "DETROIT",
"state": "MI",
"postal_code": "482143730",
"telephone_number": "313-499-4775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASLEY",
"first_name": "SABRINA",
"middle_name": "LATRICE",
"name_prefix": "Ms.",
"credential": "R.D.H",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-08",
"last_updated": "2011-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MI",
"license": "2902015255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.