Organization Active NPI

H. Bronson Bassir DDS Inc

Doing business as Seascape Cosmetic and Implant Dentistry

  • Dentist
  • San Clemente, CA
National Provider Identifier
1184112229
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54624 Issued in CA
Legal business name
H. BRONSON BASSIR DDS INC
Doing business as
Seascape Cosmetic and Implant Dentistry
Practice address
675 Camino de Los Mares
Suite 304
San Clemente, CA 92673
Phone
(949) 496-5001
Fax
(888) 285-5330
NPI assigned
Apr 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Authorized official

Name
Mr. Hamid Bronson Bassir, DDS
Title
President
Phone
(949) 529-8391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 54624 CA Primary

Addresses

Primary practice location

675 Camino de Los Mares
Suite 304
San Clemente, CA 92673

Mailing address

675 Camino de Los Mares
Suite 304
San Clemente, CA 92673
Phone (949) 496-5001

Other practice location 1

675 Camino De Los Mares
Suite 304
San Clemente, CA 92673
Phone (949) 496-5001

Other names 1

  • Seascape Cosmetic and Implant Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1184112229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 CAMINO DE LOS MARES",
            "address_2": "SUITE 304",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "92673",
            "telephone_number": "949-496-5001",
            "fax_number": "888-285-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 CAMINO DE LOS MARES",
            "address_2": "SUITE 304",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "92673",
            "telephone_number": "949-496-5001",
            "fax_number": "888-285-5330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 Camino De Los Mares",
            "address_2": "Suite 304",
            "address_purpose": "LOCATION",
            "city": "San Clemente",
            "state": "CA",
            "postal_code": "92673",
            "country_code": "US",
            "telephone_number": "949-496-5001",
            "fax_number": "888-285-5330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "H. BRONSON BASSIR DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "BASSIR",
        "authorized_official_first_name": "HAMID",
        "authorized_official_middle_name": "BRONSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-529-8391",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "54624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seascape Cosmetic and Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.