Active NPI
Tetiana Bass, DMD
- Dentist
- Brooklyn, NY
National Provider Identifier
1780247874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 062251
- Practice address
- 2281 82ND St
Brooklyn, NY 11214-2603 - Phone
- (718) 663-2770
- NPI assigned
- Apr 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 062251 | NY | Primary |
Addresses
Primary practice location
2281 82ND St
Brooklyn, NY 11214-2603
Mailing address
1549 E 18TH St Apt 1B
Brooklyn, NY 11230-7279
Phone (917) 808-1785
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 062251 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1780247874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1549 E 18TH ST APT 1B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112307279",
"telephone_number": "917-808-1785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2281 82ND ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112142603",
"telephone_number": "718-663-2770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "TETIANA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-15",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "062251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.