Parsa Basseri, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61779-01 Issued in NY

Practice address

841 Broadway
New York, NY 10003-4704

Phone

(646) 502-9770

NPI assigned

May 16, 2020

Reactivated

Jun 13, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1589587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1790307346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SOPHIE CT",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076777961",
            "telephone_number": "929-777-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034704",
            "telephone_number": "646-502-9770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Sophie Ct",
            "address_purpose": "LOCATION",
            "city": "Woodcliff Lake",
            "state": "NJ",
            "postal_code": "076777961",
            "country_code": "US",
            "telephone_number": "201-414-0192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASSERI",
        "first_name": "PARSA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-16",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "deactivation_date": "2022-04-26",
        "reactivation_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "61779-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romy Lilah Bass, P.T.
• Sherry J. Bass, OD
• Micol Bassal, LMSW
• Nynoshka M Bassatt Cabrera, MD
• Jamie Howard Bassel, DC
• Tracey Bassett-Tanz
• Clifford Wayne Bassett, MD
• Iva Bassett, MSED
• Jennifer Alisha Bassetti, MD
• Idongesit Mfon Bassey, NP

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.