Hoda Imeni Bassiri, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

9284 Issued in NC

Practice address

6400 Creedmoor Rd
Suite 103
Raleigh, NC 27613-3600

Phone

(919) 977-7480

Fax

(919) 977-7481

NPI assigned

May 26, 2012

Sex

Female

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 NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hoda Imeni Bassiri, D.D.S., P.a.

  • General Practice Dentistry
  • Raleigh, NC
  • NPI 1619399151
  NPD (past) Authorized official
• Kiarash Bassiri, OD, PA

  • Optometrist
  • Raleigh, NC
  • NPI 1770907966
  NPD (past)

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

{
    "created_epoch": "1337990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465603200000",
    "number": "1730449554",
    "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": "276133600",
            "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": {
        "last_name": "BASSIRI",
        "first_name": "HODA",
        "middle_name": "IMENI",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-26",
        "last_updated": "2016-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "9284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Brooke Bass
• Samuel Scott Bass, MS, MDIV, LMFT
• Theresa Bass, BS
• Surabhi Bassin, PT
• Bassiri Eye Care OD, PA
• Kiarash Bassiri, O.D.
• Jessica Bast, PT
• Tara Kopp Bastek, M.D.
• Karley Elizabeth Bastien, FNP-C
• Kristina Marie Bastone-Baker, LCMHC, NCC

• Dentist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Dentist in North Carolina

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.