Active NPI
Basel Danan, D.D.S
- Periodontics
- Morgantown, WV
National Provider Identifier
1194034975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 25407
- Practice address
- 453 Suncrest Town Center Dr.
Wvu Dental Care
Morgantown, WV 26505 - Phone
- (304) 293-5831
- NPI assigned
- Sep 28, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 25407 | TX | Primary |
Addresses
Primary practice location
453 Suncrest Town Center Dr.
Wvu Dental Care
Morgantown, WV 26505
Mailing address
223 Donna Ave
Morgantown, WV 26505-3904
Phone (714) 399-8006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160418000025 | WV | Order and Referring Only - Oral Surgery | 4688972151 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25407 | TX | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401926400000",
"number": "1194034975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 DONNA AVE",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265053904",
"telephone_number": "714-399-8006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "453 SUNCREST TOWN CENTER DR.",
"address_2": "WVU DENTAL CARE",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "26505",
"telephone_number": "304-293-5831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANAN",
"first_name": "BASEL",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-28",
"last_updated": "2014-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "25407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.