Bassam Michiel, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

57401 Issued in CA

Practice address

515 N I St
Madera, CA 93637-3070

Phone

(559) 673-2268

Fax

(559) 673-2226

NPI assigned

Jul 26, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bassam Ekram Michiel DDS Inc

  • Dentist
  • Madera, CA
  • NPI 1710774492
  NPD Authorized official
• Fresno Oral Maxillofacial Surgery and Dental Implant Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Fresno, CA
  • NPI 1750481735
  NPD (past)

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

{
    "created_epoch": "1217030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1225293475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N I ST",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936373070",
            "telephone_number": "559-673-2268",
            "fax_number": "559-673-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N I ST",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936373070",
            "telephone_number": "559-673-2268",
            "fax_number": "559-673-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHIEL",
        "first_name": "BASSAM",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-26",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittnie Meyer
• Edgar Meza
• Evelina Meza
• Martha Cecilia Meza
• Michael Scott Bohlman MD Inc
• Samir Midani, MD
• Midtown Emergency Physicians Medical Group, Inc.
• Veronica Milan
• Miller Skinner and Dastrup Dental Corporation of Madera
• Bryan Miller

• Dentist in Madera, CA
• Providers in Madera, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.