David Bastianelli, DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

135470 Issued in MI

Legal business name

DAVID BASTIANELLI, DDS, PLLC

Practice address

522 E Lincoln St
Birmingham, MI 48009-1791

Phone

(248) 644-6688

Fax

(248) 644-3470

NPI assigned

Jan 25, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Cherie Ann Martin

Title

Office Manager

Phone

(248) 644-6688

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ali Jihad Farhat, DMD

  • Dentist
  • Trenton, MI
  • NPI 1417649781
  NPD

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1609233402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 E LINCOLN ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091791",
            "telephone_number": "248-644-6688",
            "fax_number": "248-644-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 E LINCOLN ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091791",
            "telephone_number": "248-644-6688",
            "fax_number": "248-644-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID BASTIANELLI, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CHERIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-644-6688",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "135470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Civita L Dangela-Wicks, CRNA
• Daniel D Mashni DDS
• James Michael Dankovich, D.C.
• Danyal Israil Dental PLLC
• Victor Barry Dauphin, PH.D.
• David J Schwartz PHD LP LLC
• David P. Stanislaw, Jr., M.S.W., P.C.
• David V Spurlin, M.D., P.L.L.C. (Pinnacle Dermatology)
• David W Blodgett, M.D. PLLC
• Heather Kristin Dean, MUSIC THERAPIST

• General Practice Dentistry in Birmingham, MI
• Providers in Birmingham, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.