Ruslan Bashatov, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS042324 Issued in PA

Practice address

792 New Holland Ave
Lancaster, PA 17602-2137

Phone

(717) 333-8625

NPI assigned

Oct 1, 2019

Sex

Male

Sole proprietor

Yes

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": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1467093369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2063 WATERFORD DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176015456",
            "telephone_number": "717-333-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 NEW HOLLAND AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022137",
            "telephone_number": "717-333-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHATOV",
        "first_name": "RUSLAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Bartholomew
• Thomas G Bartlett, PHD
• Katina L Barton, MSW LCSW
• Melissa Louise Barzola, MSW
• Kristen Anne Bascelli, MS, LPC
• Saif Bashir, MD
• Deborah J Bashore
• Jamie Ann Bastek Finger, MD
• Emma Batchelder, MD
• Allison Lynn Bates, PH.D.

• General Practice Dentistry in Lancaster, PA
• Providers in Lancaster, PA by specialty
• General Practice Dentistry in Pennsylvania

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