Organization Active NPI

Julian Basha DMD PLLC

  • General Practice Dentistry
  • Woburn, MA
National Provider Identifier
1215529920
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JULIAN BASHA DMD PLLC
Practice address
65 Pleasant St
Woburn, MA 01801-6711
Phone
(617) 652-6869
NPI assigned
Feb 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Authorized official

Name
Dr. Julian Basha, DMDNPI 1285143560
Title
Dentist
Phone
(617) 652-6869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

65 Pleasant St
Woburn, MA 01801-6711

Mailing address

383 Whitney St
Northborough, MA 01532-1151
Phone (617) 652-6869

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bas80@outlook.com

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": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1215529920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 WHITNEY ST",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321151",
            "telephone_number": "617-652-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 PLEASANT ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016711",
            "telephone_number": "617-652-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIAN BASHA DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "BASHA",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "617-652-6869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bas80@outlook.com",
            "affiliation": "N",
            "address_1": "65 Pleasant St",
            "city": "Woburn",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018016711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.