Individual provider Active NPI

Mohamed Ali Basha, MA

  • Dentist
  • Franklin, MA
National Provider Identifier
1629611256
Registry record updated Oct 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1858515 Issued in MA
Practice address
260 E Central St
Franklin, MA 02038-1319
Phone
(646) 515-7162
NPI assigned
Oct 27, 2019
Last updated
Oct 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1858515 MA Primary

Addresses

Primary practice location

260 E Central St
Franklin, MA 02038-1319

Mailing address

260 E Central St
Franklin, MA 02038-1319
Phone (646) 515-7162

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
DN1858515MAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1572134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572134400000",
    "number": "1629611256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 E CENTRAL ST",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020381319",
            "telephone_number": "646-515-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 E CENTRAL ST",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020381319",
            "telephone_number": "646-515-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI BASHA",
        "first_name": "MOHAMED",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-27",
        "last_updated": "2019-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1858515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2019; 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.