Individual provider Active NPI

Bassem Roshdy Saweres

  • General Practice Dentistry
  • Antioch, CA
National Provider Identifier
1134295199
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48373 Issued in CA
Practice address
2590 Sycamore Dr
Antioch, CA 94509-2909
Phone
(925) 776-1142
Fax
(925) 776-1148
NPI assigned
Nov 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 48373 CA Primary

Addresses

Primary practice location

2590 Sycamore Dr
Antioch, CA 94509-2909

Mailing address

3545 Tupelo Dr
Walnut Creek, CA 94598-2740
Phone (925) 933-9192

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

LicenseStateTypeSpecialty
48373CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Dental Services, Inc. General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bsaweres@direct.westerndental.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134295199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 TUPELO DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982740",
            "telephone_number": "925-933-9192",
            "fax_number": "925-776-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 SYCAMORE DR",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945092909",
            "telephone_number": "925-776-1142",
            "fax_number": "925-776-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWERES",
        "first_name": "BASSEM",
        "middle_name": "ROSHDY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.