Active NPI
Basha Dental PLLC
- General Practice Dentistry
- Sterling Heights, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- BASHA DENTAL PLLC
- Practice address
- 43455 Schoenherr Rd
Suite 1
Sterling Heights, MI 48313-1951 - Phone
- (586) 323-1100
- Fax
- (586) 323-1141
- NPI assigned
- May 15, 2014
- Last updated
- Oct 19, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samar Koujan-Basha, DDS
- Title
- Owner
- Phone
- (586) 323-1100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
43455 Schoenherr Rd
Suite 1
Sterling Heights, MI 48313-1951
Mailing address
43455 Schoenherr Rd
Sterling Heights, MI 48313-1951
Phone (586) 323-1100
National Provider Directory
National Provider Directory- Tax ID family
- Basha Dental PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-emergency Medical Transport (VAN)
- Kissimmee, FL
- NPI 1740744143
Locations
43455 Schoenherr Rd
Ste 1
Sterling Heights, MI 48313
Phone (586) 323-1100
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Dentist
- Sterling Heights, MI
- NPI 1821147737
-
- Dentist
- Sterling Heights, MI
- NPI 1144279662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603065600000",
"number": "1043621758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43455 SCHOENHERR RD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483131951",
"telephone_number": "586-323-1100",
"fax_number": "586-323-1141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43455 SCHOENHERR RD",
"address_2": "SUITE 1",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483131951",
"telephone_number": "586-323-1100",
"fax_number": "586-323-1141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BASHA DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-15",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A",
"authorized_official_last_name": "KOUJAN-BASHA",
"authorized_official_first_name": "SAMAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "586-323-1100",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.