Elvis Basic

Primary specialty

DriverTaxonomy code 172A00000X

License

BAS90-5822 Issued in ND

Practice address

2703 Paint Ball Way
Bismarck, ND 58554

Phone

(701) 226-2791

NPI assigned

Oct 8, 2026

Last updated

Oct 8, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1821993163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 3RD AVE NW APT 3",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543019",
            "telephone_number": "701-226-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 PAINT BALL WAY",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58554",
            "telephone_number": "701-226-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASIC",
        "first_name": "ELVIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "ND",
            "license": "BAS90-5822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Barrett
• Peggy Jan Bartlett, R.PH.
• Zayden Q Bartosh, LAC
• Darleen Ruth Bartz, APRN, PHD
• Sara R. Bashus, LCSW
• Immanjot Bassi, MD
• Rebecca Sue Batiz
• Elisha Emahi Batsa
• Jody M Bauer, PA-C
• Karie Bauer

• Driver in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Driver in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.