Alireza Basti, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49841 Issued in CA

Practice address

24896 Chrisanta Dr Ste 120
Mission Viejo, CA 92691-4800

Phone

(949) 347-0780

Fax

(949) 347-9549

NPI assigned

Nov 17, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Basti Dental Corporation

  • Dentist
  • Mission Viejo, CA
  • NPI 1063613768
  NPD (past) Authorized official

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1417021916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24896 CHRISANTA DR STE 120",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914800",
            "telephone_number": "949-347-0780",
            "fax_number": "949-347-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24896 CHRISANTA DR STE 120",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914800",
            "telephone_number": "949-347-0780",
            "fax_number": "949-347-9549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24896 Chrisanta Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926914800",
            "country_code": "US",
            "telephone_number": "949-347-0780",
            "fax_number": "949-347-9549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASTI",
        "first_name": "ALIREZA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION TAX ID",
            "identifier": "770633750",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DENTAL LICENSE",
            "identifier": "49841",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Bartell, NP
• William Robert Bartok, MD
• Tyler Basen, M.D.
• Shannon Bass, OTR/L
• Basti Dental Corporation
• Tricia David Bato, D.D.S.
• Donna Bautista, D.D.S.
• Jihad Naim Bayaa, PHARMACIST
• Luz Patricia Bayer, MFT
• BC Acutis Inc. (Caremarque)

• General Practice Dentistry in Mission Viejo, CA
• Providers in Mission Viejo, 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 6, 2024; 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.