Individual provider Active NPI

Bashaer Abosalem, DDS

  • Dentist
  • Orange, MA
National Provider Identifier
1386520989
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DL100621 Issued in MA
Practice address
119 New Athol Rd
Orange, MA 01364-9603
Phone
(978) 544-1576
NPI assigned
Aug 12, 2025
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DL100621 MA Primary

Addresses

Primary practice location

119 New Athol Rd
Orange, MA 01364-9603

Mailing address

75 Wallingford Ave
Athol, MA 01331-1506
Phone (978) 648-7923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 S Shore Dr
Suite 200
East Haven, CT 06512-5606

27 Congress St
Suite 513
Salem, MA 01970-5578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DL100621MAMDDentist

Interoperability endpoints

  • Direct secure messaging: bsalem49914@direct.ctc.masshiway.net

NPI Registry JSON

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1386520989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 WALLINGFORD AVE",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013311506",
            "telephone_number": "978-648-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 NEW ATHOL RD",
            "city": "ORANGE",
            "state": "MA",
            "postal_code": "013649603",
            "telephone_number": "978-544-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOSALEM",
        "first_name": "BASHAER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DL100621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, MA

Sources for this page

Verify at the official NPI Registry.