Baher Bassili, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS103106 Issued in CA

Practice address

137 W Chapman Ave
Fullerton, CA 92832-1473

Phone

(949) 877-8554

NPI assigned

Aug 1, 2019

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1407400047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 BOMBAY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926204806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 W CHAPMAN AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321473",
            "telephone_number": "949-877-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSILI",
        "first_name": "BAHER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS103106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Marcela Basagoiti
• Yuna Basas
• Kiezel D Bascos
• Janis Basical
• Noah Basit
• Heba Bassiouni
• Bastanchury Heights Medical Group, Inc.
• Desiree A. Basurto
• Robert Terrell Batchelor
• Abraham Baten

• General Practice Dentistry in Fullerton, CA
• Providers in Fullerton, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.