Active NPI
Mauricio Basso, DDS
- Endodontics
- Gainesville, FL
National Provider Identifier
1568990851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN27492
- Practice address
- 1395 Center Dr RM D1-11
Gainesville, FL 32610-1078 - Phone
- (352) 273-5440
- NPI assigned
- May 31, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN27492 | FL | Primary |
Addresses
Primary practice location
1395 Center Dr RM D1-11
Gainesville, FL 32610-1078
Mailing address
PO Box 100436
Gainesville, FL 32610-0436
Phone (352) 273-5440
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 |
|---|---|---|---|
| DN27492 | FL | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1568990851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100436",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100436",
"telephone_number": "352-273-5440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1395 CENTER DR RM D1-11",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326101078",
"telephone_number": "352-273-5440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASSO",
"first_name": "MAURICIO",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-31",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "DN27492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.