Active NPI
Eugene Harvey Bass, DMD
- General Practice Dentistry
- New City, NY
National Provider Identifier
1730108580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 038838
- Practice address
- 500 New Hempstead Rd
New City, NY 10956-1132 - Phone
- (845) 362-1180
- Fax
- (845) 362-4922
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 038838 | NY | Primary |
| General Practice Dentistry | 1223G0001X | 22D101545700 | NJ | |
| General Practice Dentistry | 1223G0001X | 32946 | CA |
Addresses
Primary practice location
500 New Hempstead Rd
New City, NY 10956-1132
Mailing address
500 New Hempstead Rd
New City, NY 10956-1132
Phone (845) 362-1180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150403000790 | NY | Order and Referring Only - Oral Surgery | 0547588444 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22D101545700 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730108580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 NEW HEMPSTEAD RD",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109561132",
"telephone_number": "845-362-1180",
"fax_number": "845-362-4922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 NEW HEMPSTEAD RD",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109561132",
"telephone_number": "845-362-1180",
"fax_number": "845-362-4922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "EUGENE",
"middle_name": "HARVEY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "038838",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22D101545700",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "32946",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.