Active NPI
Nouman Bashir
- Dentist
- Philadelphia, PA
National Provider Identifier
1467757443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS038544
- Practice address
- 5139 Chestnut Stree
Philadelphia, PA 19139 - Phone
- (215) 471-1600
- NPI assigned
- Jan 21, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS038544 | PA | Primary |
Addresses
Primary practice location
5139 Chestnut Stree
Philadelphia, PA 19139
Mailing address
214 Snowberry Way
West Chester, PA 19380
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NBASHIR2011 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160929002376 | PA | Order and Referring Only - Other (Physician) | 6406143759 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS038544 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295568000000",
"number": "1467757443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 SNOWBERRY WAY",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "19380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5139 CHESTNUT STREE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19139",
"telephone_number": "215-471-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASHIR",
"first_name": "NOUMAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-21",
"last_updated": "2011-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS038544",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NBASHIR2011",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.