Individual provider Active NPI

William Steven Bachicha, DDS, MS

  • Endodontics
  • Rocklin, CA
National Provider Identifier
1275650376
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
38394 Issued in CA
Practice address
3400 Sunset Blvd
Rocklin, CA 95677-3006
Phone
(916) 632-7214
Fax
(916) 632-6815
NPI assigned
Mar 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 38394 CA Primary

Addresses

Primary practice location

3400 Sunset Blvd
Rocklin, CA 95677-3006

Mailing address

3400 Sunset Blvd
Rocklin, CA 95677-3006
Phone (916) 632-7214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 4, 2016 through Apr 4, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
38394CAMDLicensed Psychiatric Technician

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275650376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SUNSET BLVD",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956773006",
            "telephone_number": "916-632-7214",
            "fax_number": "916-632-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SUNSET BLVD",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956773006",
            "telephone_number": "916-632-7214",
            "fax_number": "916-632-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHICHA",
        "first_name": "WILLIAM",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "38394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

Verify at the official NPI Registry.