Individual provider Active NPI

Bassam Butto, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kearny, NJ
National Provider Identifier
1467181123
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
07653 Issued in NJ
Practice address
242 Kearny Ave
Kearny, NJ 07032-2505
Phone
(201) 955-2500
NPI assigned
Jun 8, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 07653 NJ Primary
Dentist 122300000X 22DI02987000 NJ

Addresses

Primary practice location

242 Kearny Ave
Kearny, NJ 07032-2505

Mailing address

242 Kearny Ave
Kearny, NJ 07032-2505
Phone (201) 955-2500

Other names 1

  • Bassam Farid Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI02987000NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Central Dental Camden P.C. CurrentSince Dec 10, 2023 Accepting new patients
Smile Central Orthodontics, P.C. CurrentSince Dec 10, 2023 Accepting new patients

Locations

140 Market St
Fl 2
Paterson, NJ 07505
Phone (973) 742-4200

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1467181123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322505",
            "telephone_number": "201-955-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322505",
            "telephone_number": "201-955-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTO",
        "first_name": "BASSAM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-08",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "07653",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02987000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BASSAM",
            "last_name": "FARID",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kearny, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.