NPIMap

Organization Active NPI

Bassam Ekram Michiel DDS Inc

Doing business as Bassam Michiel DDS

  • Dentist
  • Madera, CA
National Provider Identifier
1710774492
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BASSAM EKRAM MICHIEL DDS INC
Doing business as
Bassam Michiel DDS
Practice address
515 N I St
Madera, CA 93637-3070
Phone
(559) 673-2268
Fax
(559) 673-2226
NPI assigned
Apr 24, 2025
Last updated
Apr 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Bassam Ekram Michiel, DDSNPI 1225293475
Title
Owner
Phone
(559) 673-2268

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

515 N I St
Madera, CA 93637-3070

Mailing address

515 N I St
Madera, CA 93637-3070
Phone (559) 673-2268

Other names 1

  • Bassam Michiel DDS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251107004611 CA DME Supplier - Oral Surgery - Dentist 5698265502 Practice locations: Madera, CA

National Provider Directory

National Provider Directory

Locations

515 N I St
Madera, CA 93637
Phone (559) 673-2268

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1710774492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N I ST",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936373070",
            "telephone_number": "559-673-2268",
            "fax_number": "559-673-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N I ST",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936373070",
            "telephone_number": "559-673-2268",
            "fax_number": "559-673-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASSAM EKRAM MICHIEL DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "MICHIEL",
        "authorized_official_first_name": "BASSAM",
        "authorized_official_middle_name": "EKRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-673-2268",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bassam Michiel DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.