Active NPI
Robert Lee Bass, D.M.D
- General Practice Dentistry
- New York, NY
National Provider Identifier
1508889759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 028277
- Practice address
- 45 Gramercy Park N
Suite 1C
New York, NY 10010-6345 - Phone
- (212) 475-0060
- NPI assigned
- Jul 26, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 028277 | NY | Primary |
Addresses
Primary practice location
45 Gramercy Park N
Suite 1C
New York, NY 10010-6345
Mailing address
3 Chelmsford Dr
Glen Head, NY 11545-3007
Phone (151) 662-6196
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
| License | State | Type | Specialty |
|---|---|---|---|
| 028277 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508889759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 CHELMSFORD DR",
"city": "GLEN HEAD",
"state": "NY",
"postal_code": "115453007",
"telephone_number": "151-662-6196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 GRAMERCY PARK N",
"address_2": "SUITE 1C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100106345",
"telephone_number": "212-475-0060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "ROBERT",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "028277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.