Douglas Baasch, MD,DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DE61032347 Issued in WA

Practice address

19503 7TH Ave NE Ste 100
Poulsbo, WA 98370-7529

Phone

(360) 779-2339

NPI assigned

Apr 2, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral SurgeryAlso: Maxillofacial Surgery

Education

Loma Linda University School of Dentistry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Greenawalt Dhaliwal LLPGroup PAC ID 1759279995, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• The Greenawalt Dhaliwal LLP

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Poulsbo, WA
  • NPI 1467655548

  Oral and Maxillofacial Surgery

  Medicare reassignment Care Compare group NPD
• The Greenawalt Dhaliwal LLP

  • Oral and Maxillofacial Surgery (Dentist)
  • Port Prchard, WA
  • NPI 1255082632
  NPD
• The Greenawalt Dhaliwal LLP

  • Oral and Maxillofacial Surgery (Dentist)
  • Silverdale, WA
  • NPI 1881897999
  NPD (past)

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1629496161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19503 7TH AVE NE STE 100",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707529",
            "telephone_number": "360-779-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19503 7TH AVE NE STE 100",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707529",
            "telephone_number": "360-779-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAASCH",
        "first_name": "DOUGLAS",
        "credential": "MD,DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE61032347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Art Nelson LLC
• Jennifer Elizabeth Artis, DPT
• Cecil S Ash, DDS
• Athelas Therapy Group, PLLC
• Seher Azam, PHARMD
• Andrzej Jaroslaw Babij, LMP
• Nita Debra Baer, M.A.
• Amanda Lea Baker
• Diana J Baker, MSW LMHC
• Scott Wesley Baker, L.AC.

• Oral and Maxillofacial Surgery (Dentist) in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.