Samantha Bassil, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901021877 Issued in MI

Practice address

5425 Whittaker Rd
Ypsilanti, MI 48197-9751

Phone

(734) 480-0033

NPI assigned

Jun 9, 2016

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

Other names 1

• Dr. Samantha Southwell Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Comprehensive Dentistry, PLLC

  • Clinic/Center
  • Ypsilanti, MI
  • NPI 1073121745
  NPD (past)

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285083279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8176 BROOKE PARK DR APT 210",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874062",
            "telephone_number": "989-600-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 WHITTAKER RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979751",
            "telephone_number": "734-480-0033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2215 Fuller Road",
            "address_2": "AAVAMC - Dental Service (160)",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481059928",
            "country_code": "US",
            "telephone_number": "734-845-3528",
            "fax_number": "734-845-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASSIL",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "SOUTHWELL",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Arden Basler, RN
• Anaya Camille Bass
• Anthony Bass, PSS
• Makale Bass
• Valerie Kay Bass
• Samantha Maria Bastianelli, LPC
• Jasdeep Singh Bathla, DO
• Keisha Batra
• Tsermaa Batsaikhan, DDS
• Queayna Battle

• General Practice Dentistry in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.