Bashar Komoc DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42317 Issued in CA

Legal business name

BASHAR KOMOC DDS, INC.

Doing business as

American Dental Center

Practice address

3318 E Anaheim St
Long Beach, CA 90804-4025

Phone

(562) 986-5570

Fax

(562) 986-9791

NPI assigned

Jul 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Bashar Komoc, DDSNPI 1437290897

Title

President

Phone

(562) 986-5570

Specialties & licenses 1

Addresses

Other names 1

• American Dental Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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.

• Bashar Komoc, DDS

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1437290897
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1114181260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908044025",
            "telephone_number": "562-986-5570",
            "fax_number": "562-986-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3318 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908044025",
            "telephone_number": "562-986-5570",
            "fax_number": "562-986-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASHAR KOMOC DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "KOMOC",
        "authorized_official_first_name": "BASHAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-986-5570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cornelia Nelly Barton, MD
• Julissa Barton
• Alexander Bartosch
• Sara Basch
• Christina Basham, PA-C
• Christopher Basiago, D.D.S.
• Jonathan Basiago, DDS
• Ana Basilio
• Lea Michelle Basler, LCSW
• Patrick James Basoco

• General Practice Dentistry in Long Beach, CA
• Providers in Long Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.