David L Basi, DMD PHD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

D11692 Issued in MN

Practice address

515 Delaware St SE
7-174 Moos Tower
Minneapolis, MN 55455

Phone

(612) 624-4435

Fax

(612) 624-2669

NPI assigned

Feb 7, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Regents of the University of Minnesota

  dba Boynton Health Service

  • Student Health Clinic/Center
  • Minneapolis, MN
  • NPI 1013137355
  NPD
• Regents of the University of Minnesota

  dba Community-University Health Care Center

  • Federally Qualified Health Center (FQHC)
  • Minneapolis, MN
  • NPI 1114019858
  NPD
• Regents of the University of Minnesota

  dba Boynton Health Service

  • Clinic Pharmacy
  • Minneapolis, MN
  • NPI 1528288875
  NPD
• Maxillofacial and Oral Surgery PA

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Minneapolis, MN
  • NPI 1821010497
  NPD (past)
• Northern Star Oral and Maxillofacial Surgery PLLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • St Louis Park, MN
  • NPI 1699901140
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104898626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2854 HIGHWAY 55",
            "address_2": "SUITE 130",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "55121",
            "telephone_number": "651-842-3344",
            "fax_number": "651-842-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 DELAWARE ST SE",
            "address_2": "7-174 MOOS TOWER",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55455",
            "telephone_number": "612-624-4435",
            "fax_number": "612-624-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASI",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "DMD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MN",
            "license": "D11692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hodon Bashir
• Libin Burhan Bashir
• Sabirin Hassan Bashir
• Sirat Bashir
• Evgeny Bashirov, DDS
• Basic Needs
• Patrick Michael Basile, M.D.
• Dashauna Bass
• Deanna Bass, M.D.
• John Bass, M.D.

• Oral & Maxillofacial Surgery (D.M.D.) in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.