Jeffrey L Bassett, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12008295 Issued in IN

Practice address

108 S Townline Rd
Lagrange, IN 46761-1740

Phone

(260) 463-3652

Fax

(260) 463-7096

NPI assigned

Nov 28, 2006

Last updated

Dec 22, 2016By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1285701219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S TOWNLINE RD",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "467611740",
            "telephone_number": "260-463-3652",
            "fax_number": "260-463-7096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S TOWNLINE RD",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "467611740",
            "telephone_number": "260-463-3652",
            "fax_number": "260-463-7096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSETT",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100159740-A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Misty D. Arellano, MSED
• Brenda Kaye Armentrout, RPH
• Muhammad Arslan, MD
• Joshua Daniel Avery, FNP-BC
• Ahad Ayaz, MD
• Aditi Bawa, M.D.
• Beacon Medical Group, Inc. (Beacon Medical Group LaGrange Specialty Clinic)
• Larry Best, DPM
• Courtney Boggs
• Sarah Bolinger, EDS

• General Practice Dentistry in Lagrange, IN
• Providers in Lagrange, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.