NPIMap

Organization Active NPI

Ellie Bash, DDS, Ms, PA

  • Periodontics
  • Durham, NC
National Provider Identifier
1730805607
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
ELLIE BASH, DDS, MS, PA
Practice address
3001 Academy Rd Ste 250
Durham, NC 27707-2653
Phone
(919) 489-3204
NPI assigned
Oct 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Authorized official

Name
Ellie Bash, DDS, MSNPI 1609436385
Title
Owner/President
Phone
(919) 288-4724

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

3001 Academy Rd Ste 250
Durham, NC 27707-2653

Mailing address

708 Sumter CT
Cary, NC 27519-7587
Phone (919) 288-4724

National Provider Directory

National Provider Directory

Locations

3001 Academy Rd
Ste 250
Durham, NC 27707
Phone (919) 489-3204

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1730805607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 SUMTER CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275197587",
            "telephone_number": "919-288-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 ACADEMY RD STE 250",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072653",
            "telephone_number": "919-489-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIE BASH, DDS, MS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "BASH",
        "authorized_official_first_name": "ELLIE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "919-288-4724",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.