Individual provider Active NPI

Stephen L. Bass, D.D.S.,M.S.

  • Periodontics
  • Plano, TX
National Provider Identifier
1306067632
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
16167 Issued in TX
Practice address
5932 W Parker Rd
Suite 700
Plano, TX 75093-6425
Phone
(972) 612-2040
Fax
(972) 867-6686
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 16167 TX Primary

Addresses

Primary practice location

5932 W Parker Rd
Suite 700
Plano, TX 75093-6425

Mailing address

5932 W Parker Rd
Suite 700
Plano, TX 75093-6425
Phone (972) 612-2040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20160330000705 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2365749736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
16167TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1306067632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5932 W PARKER RD",
            "address_2": "SUITE 700",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936425",
            "telephone_number": "972-612-2040",
            "fax_number": "972-867-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5932 W PARKER RD",
            "address_2": "SUITE 700",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936425",
            "telephone_number": "972-612-2040",
            "fax_number": "972-867-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "STEPHEN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "16167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.