Sandy Tamer Basta

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10569 Issued in SC

Practice address

1257 Broad St
Sumter, SC 29150-1973

Phone

(803) 773-1355

NPI assigned

Jun 12, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Basta Dental LLC

  • General Practice Dentistry
  • Sumter, SC
  • NPI 1255174140
  NPD

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1497439467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 TRAVIS CT",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291544677",
            "telephone_number": "201-554-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 BROAD ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501973",
            "telephone_number": "803-773-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTA",
        "first_name": "SANDY",
        "middle_name": "TAMER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "10569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deasha Barthell
• Matthew Frederick Basel
• Ryan Basescu, D.P.T.
• Kristy Bass, ARNP
• Basta Dental LLC
• Camryn Bateman
• Eugene Russell Baten, LMSW
• Courtney Bath, PHARM D.
• Batteries Plus of Sumter, LLC
• Anthony Jason Baugh, PA-C

• General Practice Dentistry in Sumter, SC
• Providers in Sumter, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.