Individual provider Active NPI

Seyed Hossein Bassir, D.D.S

  • Periodontics
  • Gardena, CA
National Provider Identifier
1588098628
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DDS105946 Issued in CA
Practice address
1890 W Redondo Beach Blvd
Gardena, CA 90247-3662
Phone
(310) 801-4208
NPI assigned
Aug 26, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 000093 NY
Periodontics 1223P0300X 33123 TX
Periodontics 1223P0300X DDS105946 CA Primary

Addresses

Primary practice location

1890 W Redondo Beach Blvd
Gardena, CA 90247-3662

Mailing address

2220 Ave of Stars Unit 404
Los Angeles, CA 90067-5656
Phone (310) 801-4208

Other practice location 1

188 Longwood Ave
Boston, MA 02115-5819
Phone (617) 432-8304

Other practice location 2

10407 North Fwy
Houston, TX 77037-1136
Phone (281) 260-7773

Other practice location 3

South Dr Stony Brook School Of Dental Medicine
Stony Brook, NY 11794-1136
Phone (631) 638-3664

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

LicenseStateTypeSpecialty
DDS105946CAMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1588098628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 AVE OF STARS UNIT 404",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900675656",
            "telephone_number": "310-801-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 W REDONDO BEACH BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473662",
            "telephone_number": "310-801-4208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "188 Longwood Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021155819",
            "country_code": "US",
            "telephone_number": "617-432-8304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10407 North Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770371136",
            "country_code": "US",
            "telephone_number": "281-260-7773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "South Dr Stony Brook School Of Dental Medicine",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117941136",
            "country_code": "US",
            "telephone_number": "631-638-3664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASSIR",
        "first_name": "SEYED HOSSEIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-26",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "000093",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "33123",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "DDS105946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.