Organization Active NPI

Northstar Dental Care LLC

  • Dentist
  • Nazareth, PA
National Provider Identifier
1801136973
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS030891L Issued in PA
Legal business name
NORTHSTAR DENTAL CARE LLC
Practice address
430 Nazareth Pike
Suite 2a
Nazareth, PA 18064-9683
Phone
(610) 365-5000
NPI assigned
Feb 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Authorized official

Name
Dr. Marwan B Bassil, DMD
Title
Owner
Phone
(610) 365-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DS030891L PA Primary

Addresses

Primary practice location

430 Nazareth Pike
Suite 2a
Nazareth, PA 18064-9683

Mailing address

430 Nazareth Pike
Suite 2a
Nazareth, PA 18064
Phone (610) 365-5000

National Provider Directory

National Provider Directory

Locations

430 Nazareth Pike
Ste 2A
Nazareth, PA 18064
Phone (610) 365-5000

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": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1801136973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 NAZARETH PIKE",
            "address_2": "SUITE 2A",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "18064",
            "telephone_number": "610-365-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 NAZARETH PIKE",
            "address_2": "SUITE 2A",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180649683",
            "telephone_number": "610-365-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "BASSIL",
        "authorized_official_first_name": "MARWAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-365-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS030891L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nazareth, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.