David Michael Bastien, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

20193 Issued in MA

Practice address

462 Plain St
Suite 103
Marshfield, MA 02050-2731

Phone

(781) 837-3700

Fax

(781) 837-4201

NPI assigned

Jul 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in MA

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

• Bastien Dental, P.C.

  • General Practice Dentistry
  • Marshfield, MA
  • NPI 1154441855
  NPD (past) Authorized official

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285667154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 PLAIN ST",
            "address_2": "SUITE 103",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020502731",
            "telephone_number": "781-837-3700",
            "fax_number": "781-837-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 PLAIN ST",
            "address_2": "SUITE 103",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020502731",
            "telephone_number": "781-837-3700",
            "fax_number": "781-837-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTIEN",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "20193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atef Ayoub
• Bare Cove Wellness, LLC
• Jeffrey Paul Barrows
• Amber Bassett
• Bastien Dental, P.C.
• Gill Bernard Bastien, D.M.D.
• Deborah Ann Bastoni, LICSW
• Susannah Baxley
• Bay Family Dentistry, PLLC
• Heather Jean Benak, LMSW

• Dentist in Marshfield, MA
• Providers in Marshfield, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.