Basti Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

49841 Issued in CA

Legal business name

BASTI DENTAL CORPORATION

Practice address

27871 Medical Center Rd Ste 180
Mission Viejo, CA 92691-6463

Phone

(949) 347-0780

Fax

(949) 347-9549

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Alireza Basti, D.D.SNPI 1417021916

Title

President

Phone

(949) 347-0780

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alireza Basti, D.D.S

  • General Practice Dentistry
  • Mission Viejo, CA
  • NPI 1417021916
  NPD (past) Authorized official

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063613768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27871 MEDICAL CENTER RD STE 180",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916463",
            "telephone_number": "949-347-0780",
            "fax_number": "949-347-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27871 MEDICAL CENTER RD STE 180",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916463",
            "telephone_number": "949-347-0780",
            "fax_number": "949-347-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASTI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BASTI",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-347-0780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "49841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Ann Bartczak, MS-SLP, CCC SPEECH L
• Ashley Nicole Bartell, NP
• William Robert Bartok, MD
• Tyler Basen, M.D.
• Shannon Bass, OTR/L
• Alireza Basti, D.D.S
• Tricia David Bato, D.D.S.
• Donna Bautista, D.D.S.
• Jihad Naim Bayaa, PHARMACIST
• Luz Patricia Bayer, MFT

• Dentist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.