Rehan Bashar DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

REHAN BASHAR DDS PLLC

Doing business as

Crescent Dental Bonney Lake

Practice address

10004 204TH Ave E Ste 2500
Bonney Lake, WA 98391-6539

Phone

(253) 447-8344

Fax

(253) 447-8580

NPI assigned

Dec 3, 2021

Last updated

Dec 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Syed Rehan Bashar, DDSNPI 1952317372

Title

Owner/Sole Proprietor

Phone

(909) 556-3146

Specialties & licenses 1

Addresses

Other names 1

• Crescent Dental Bonney Lake Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Syed Rehan Bashar, DDS

  • Dentist
  • Bonney Lake, WA
  • NPI 1952317372
  NPD Authorized official

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640390400000",
    "number": "1801554084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 204TH AVE E STE 2500",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983916539",
            "telephone_number": "253-447-8344",
            "fax_number": "253-447-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 204TH AVE E STE 2500",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983916539",
            "telephone_number": "253-447-8344",
            "fax_number": "253-447-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAN BASHAR DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-25",
        "certification_date": "2021-12-25",
        "status": "A",
        "authorized_official_last_name": "BASHAR",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "REHAN",
        "authorized_official_title_or_position": "OWNER/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "909-556-3146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crescent Dental Bonney Lake",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crescent Dental Bonney Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rainier Biobehavioral Institute, LLC (Rbi)
• Archana Madhuri Rajan, M.D
• Shona Catherine Ramsay, MS, ATC, LAT
• Courtney Dyan Randolph, ARNP
• Rediclinic of Wa, LLC
• Van Reid, D.D.S
• Tammy Lee Remick, LMP
• Renal Care Group Northwest, Inc. (Fresenius Kidney Care Bonney Lake)
• Restorative Oasis-Counseling and Clinical Supervision
• Diego Alexander Reyes, SPANISH INTERPRETER

• Dental Clinic/Center in Bonney Lake, WA
• Providers in Bonney Lake, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2021; 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.