Laurence Anthony Basham, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22778 Issued in CA

Practice address

122 S Patterson Ave. #107
Santa Barbara, CA 93111

Phone

(805) 967-0272

Fax

(805) 967-8997

NPI assigned

Aug 9, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1790786077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5180 WALNUT PARK",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93111",
            "telephone_number": "805-680-9572",
            "fax_number": "805-967-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S PATTERSON AVE. #107",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93111",
            "telephone_number": "805-967-0272",
            "fax_number": "805-967-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHAM",
        "first_name": "LAURENCE",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "22778",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "22778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER NUMBER",
            "identifier": "22620926",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neal M Barry, D.C.
• Nicole Ann Barry, D.C.
• Hans Richard Barthel, M.D.
• Larry Bascom, PH.D.
• Bash Physiatry Inc
• Sharon L Basham, M.D.
• Angela Basore
• Tavinder Bassi, DMD
• Jacob Bastomski, D.C. INC
• Elizabeth Ann Bates Freed, PSYD

• General Practice Dentistry in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.