A.T. Bassiri, D.D.S., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6315 Issued in NC

Legal business name

A.T. BASSIRI, D.D.S., P.A.

Doing business as

Pine Valley Family Dentistry

Practice address

7766 Good Middling Drive
Fayetteville, NC 28304-3425

Phone

(910) 867-2344

Fax

(910) 826-0028

NPI assigned

Sep 24, 2010

Last updated

Jul 30, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Arash T Bassiri, D.D.S., P.A.NPI 1467521351

Title

President

Phone

(910) 867-2344

Specialties & licenses 1

Addresses

Other names 1

• Pine Valley Family Dentistry Doing business as

Tax ID family

At Bassiri DDS PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• A.T. Bassiri

  dba King Family Dentistry

  • General Practice Dentistry
  • King, NC
  • NPI 1942509542
  NPD tax ID
• A.T. Bassiri, D.D.S., P.a.

  dba Pine Valley Family Dentistry

  • Dentist
  • Fayetteville, NC
  • NPI 1003086174
  NPD tax ID
• A.T. Bassiri, D.D.S., P.a.

  • Dentist
  • King, NC
  • NPI 1316237563
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Arash Thomas Bassiri, DDS

  • General Practice Dentistry
  • Fayetteville, NC
  • NPI 1467521351
  NPD (past) Authorized official

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1538478573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7766 GOOD MIDDLING DRIVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043425",
            "telephone_number": "910-867-2344",
            "fax_number": "910-826-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7766 GOOD MIDDLING DRIVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043425",
            "telephone_number": "910-867-2344",
            "fax_number": "910-826-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.T. BASSIRI, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-24",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "BASSIRI",
        "authorized_official_first_name": "ARASH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-867-2344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., P.A."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Valley Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; 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.