Individual provider Active NPI

Doris Basali

  • Endodontics
  • Boynton Beach, FL
National Provider Identifier
1326492539
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN28138 Issued in FL
Practice address
13027 Anthorne LN
Boynton Beach, FL 33436-2202
Phone
(216) 926-9204
NPI assigned
Apr 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DN28138 FL Primary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 062279 NY

Addresses

Primary practice location

13027 Anthorne LN
Boynton Beach, FL 33436-2202

Mailing address

13027 Anthorne LN
Boynton Beach, FL 33436-2202
Phone (216) 926-9204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160817002429 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5395030274

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
062279NYMDDentist
DN28138FLMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1326492539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13027 ANTHORNE LN",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334362202",
            "telephone_number": "216-926-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13027 ANTHORNE LN",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334362202",
            "telephone_number": "216-926-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASALI",
        "first_name": "DORIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN28138",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "062279",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.