Active NPI
Nicholas Adam Bass
- Social Worker
- Lawton, OK
National Provider Identifier
1609117597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 811 SE Lomond LN
Lawton, OK 73501-6609 - Phone
- (580) 353-6937
- NPI assigned
- Mar 3, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | OK | Primary |
Addresses
Primary practice location
811 SE Lomond LN
Lawton, OK 73501-6609
Mailing address
811 SE Lomond LN
Lawton, OK 73501-6609
Phone (580) 353-6937
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362268800000",
"number": "1609117597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 SE LOMOND LN",
"city": "LAWTON",
"state": "OK",
"postal_code": "735016609",
"telephone_number": "580-353-6937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 SE LOMOND LN",
"city": "LAWTON",
"state": "OK",
"postal_code": "735016609",
"telephone_number": "580-353-6937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "NICHOLAS",
"middle_name": "ADAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-03",
"last_updated": "2013-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.