Ellie N/a Bash, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

11391 Issued in NC

Practice address

3001 Academy Rd Ste 250
Durham, NC 27707-2653

Phone

(919) 489-3204

NPI assigned

Jun 16, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ellie Bash, DDS, Ms, PA

  • Periodontics
  • Durham, NC
  • NPI 1730805607
  NPD Authorized official

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

{
    "created_epoch": "1560643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1609436385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 SUMTER CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275197587",
            "telephone_number": "919-288-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 ACADEMY RD STE 250",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072653",
            "telephone_number": "919-489-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASH",
        "first_name": "ELLIE",
        "middle_name": "N/A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-16",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11391",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "11391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Rayburn Barton
• Sarah Jean Barton, OTR/L
• Donald Scott Bartosik, LMFT
• Michele Ann Barts, FNP
• Basecamp Physiotherapy and Performance, LLC
• Fahmin Basher, MD, PHD
• Aya Bashi, MD, MPH
• Mustafa Shadi Rifaat Bashir, M.D.
• Thomas Bashore, M.D.
• Basil Guyer Therapy PLLC

• Periodontics in Durham, NC
• Providers in Durham, NC by specialty
• Periodontics in North Carolina

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