Yawer Bashir
Individual provider Active NPI General Practice Dentistry · Garner, NC
NPI 1861004632 · NPPES record last updated Aug 21, 2020
Key facts
- NPI
- 1861004632
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12020 (NC)
- Practice address
- 12450 Cleveland Rd
Garner, NC 27529-8353 - Phone
- (607) 386-8713
- NPI assigned
- Aug 21, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200915000720 | NC | Order and Referring Only - Dentist |
2961820592 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12020 | NC | Yes |
Addresses
Primary practice location
12450 Cleveland Rd
Garner, NC 27529-8353
Mailing address
820 Sumner Dr Apt 5
Fayetteville, NC 28303-5542
Other providers in Garner, NC
- Annalise Barnette
- Megan Roseanna Barney
- Alison Baron
- Allison Gorin Barrier
- Rachel Jordan Barrow
- Elaine Bear
- Kayla Beasley
- Beauty for Ashes Christian Counseling & Coaching, PLLC
- Lilia Cristina Becerra-Hatcher
- Kimberly Lynn Beck
All providers in Garner, NC · General Practice Dentistry in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.