Individual provider Active NPI

Rafiullah Bashiri, DDS, MDS

  • Prosthodontics
  • Chapel Hill, NC
National Provider Identifier
1588158646
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
0219 Issued in NC
Practice address
Unc Adams School of Dentistry 342 Bruer Hall Cb7450
Chapel Hill, NC 27599-5638
Phone
(973) 489-3473
NPI assigned
Jun 21, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 0219 NC Primary

Addresses

Primary practice location

Unc Adams School of Dentistry 342 Bruer Hall Cb7450
Chapel Hill, NC 27599-5638

Mailing address

Unc Adams School of Dentistry 342 Brauer Hall Cb7450
Chapel Hill, NC 27599-0001
Phone (973) 489-3473

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
0219NCMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1588158646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNC ADAMS SCHOOL OF DENTISTRY 342 BRAUER HALL CB7450",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275990001",
            "telephone_number": "973-489-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNC ADAMS SCHOOL OF DENTISTRY 342 BRUER HALL CB7450",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275995638",
            "telephone_number": "973-489-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHIRI",
        "first_name": "RAFIULLAH",
        "credential": "DDS, MDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-21",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "NC",
            "license": "0219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.