Barry David Bass, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

037634 Issued in NY

Practice address

1181 Old Country Rd
Suite 4
Plainview, NY 11803-5018

Phone

(516) 822-7880

Fax

(516) 822-5010

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2021 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528077997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 OLD COUNTRY RD",
            "address_2": "SUITE 4",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118035018",
            "telephone_number": "516-822-7880",
            "fax_number": "516-822-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 OLD COUNTRY RD",
            "address_2": "SUITE 4",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118035018",
            "telephone_number": "516-822-7880",
            "fax_number": "516-822-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "BARRY",
        "middle_name": "DAVID",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "037634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00950849",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Barroco
• Cecilia Elizabeth Barry
• Alexander Barsky
• Stanley John Bartkow, D.D.S.
• Lucas Bartlett
• Mary Lou Ann Bastiao, MSED
• Michelle Ann Bastiao, MSED
• Michelle Anne Battaglia-Capogna, O.D.
• Melissa Sue Bauer
• Jeffrey A Bauman

• All providers in Plainview, NY
• Oral and Maxillofacial Surgery (Dentist) in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.