NPIMap

Organization Active NPI

Hoda Imeni Bassiri, D.D.S., P.a.

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1619399151
Registry record updated Jun 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9284 Issued in NC
Legal business name
HODA IMENI BASSIRI, D.D.S., P.A.
Practice address
6400 Creedmoor Rd
Suite 103
Raleigh, NC 27613-3600
Phone
(919) 977-7480
Fax
(919) 977-7481
NPI assigned
Jan 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2016

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

Authorized official

Name
Hoda Imeni Bassiri, D.D.S.NPI 1730449554
Title
President
Phone
(919) 977-7480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 9284 NC Primary

Addresses

Primary practice location

6400 Creedmoor Rd
Suite 103
Raleigh, NC 27613-3600

Mailing address

6400 Creedmoor Rd
Suite 103
Raleigh, NC 27613-4481
Phone (919) 977-7480

Other names 1

  • Fusion Dental Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465603200000",
    "number": "1619399151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 CREEDMOOR RD",
            "address_2": "SUITE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276134481",
            "telephone_number": "919-977-7480",
            "fax_number": "919-977-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 CREEDMOOR RD",
            "address_2": "SUITE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276133600",
            "telephone_number": "919-977-7480",
            "fax_number": "919-977-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HODA IMENI BASSIRI, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-17",
        "last_updated": "2016-06-11",
        "status": "A",
        "authorized_official_last_name": "BASSIRI",
        "authorized_official_first_name": "HODA",
        "authorized_official_middle_name": "IMENI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-977-7480",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fusion Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.