Active NPI
Michelle Mantel Bassichis, MD
- Anatomic Pathology Physician
- Dallas, TX
National Provider Identifier
1831167352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- L7306
- Practice address
- 4350 Alpha Rd
Dallas, TX 75244-4404 - Phone
- (972) 404-9345
- Fax
- (972) 404-2506
- NPI assigned
- Mar 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | L7306 | TX | Primary |
Addresses
Primary practice location
4350 Alpha Rd
Dallas, TX 75244-4404
Mailing address
7111 Fairway Dr
Suite 400
Palm Beach Gardens, FL 33418-4204
Phone (561) 712-6265
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L7306 | TX | MD | Anatomic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1831167352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7111 FAIRWAY DR",
"address_2": "SUITE 400",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334184204",
"telephone_number": "561-712-6265",
"fax_number": "561-712-7349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4350 ALPHA RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752444404",
"telephone_number": "972-404-9345",
"fax_number": "972-404-2506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASSICHIS",
"first_name": "MICHELLE",
"middle_name": "MANTEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "TX",
"license": "L7306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.