Noor Bashandy, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

107771 Issued in CA

Practice address

1586 Gateway Blvd Ste C1
Fairfield, CA 94533-6911

Phone

(707) 426-1234

NPI assigned

Aug 23, 2022

Last updated

Jan 15, 2024By the provider in NPPES

Sex

Female

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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

Univ of the Pacific Dugoni School of Dentistry, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PL Dental SC

  • Dental Clinic/Center
  • Zimmerman, MN
  • NPI 1225786411
  Medicare reassignment NPD
• PL Dental SC

  • Dental Clinic/Center
  • Coon Rapids, MN
  • NPI 1952140691
  NPD
• Daniel Capponi DDS Apc

  dba Blue Ridge Family Dental

  • Dentist
  • Vacaville, CA
  • NPI 1528426384
  NPD (past)
• G Sekhon Apc

  dba Dixon Smiles

  • Dentist
  • Dixon, CA
  • NPI 1306455407
  NPD (past)
• Kenneth M Hunter DDS, Jill H Hunter DDS, Apc

  • General Practice Dentistry
  • Vacaville, CA
  • NPI 1336110055
  NPD (past)

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1245959444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2754 CLARION PL",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336683",
            "telephone_number": "925-914-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1586 GATEWAY BLVD STE C1",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336911",
            "telephone_number": "707-426-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "292 Alamo Dr Ste 5",
            "address_purpose": "LOCATION",
            "city": "Vacaville",
            "state": "CA",
            "postal_code": "956884243",
            "country_code": "US",
            "telephone_number": "707-448-6882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASHANDY",
        "first_name": "NOOR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Barraza
• John Michael Barry, AMFT
• Marissa R. Bartlett, MD
• Hazel Valerie Basa
• Kathleen Basco
• Traci R Bass
• Jessica L Bassett, RAD-T1
• Renee Elizabeth Bassett
• Linda Elaine Bath, MFT
• Carlos David Bautista

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.