Individual provider Active NPI

Robert Larry Bass, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Palm Desert, CA
National Provider Identifier
1891701009
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
36335 Issued in CA
Practice address
72780 El Paseo
Suite E1
Palm Desert, CA 92260-3391
Phone
(760) 346-7431
Fax
(760) 341-6949
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 36335 CA Primary

Addresses

Primary practice location

72780 El Paseo
Suite E1
Palm Desert, CA 92260-3391

Mailing address

72780 El Paseo
Suite E1
Palm Desert, CA 92260-3391
Phone (760) 346-7431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040929001168 CA Practitioner - Oral Surgery 6608845243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Univ of Illinois at Chicago College of Dentistry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Associates CorporationGroup PAC ID 8022196518, 8 clinicians

Practice addresses (Care Compare)

1150 M Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone (760) 323-6511

Hospital & facility affiliations

  • Desert Regional Medical Center Hospital, Palm Springs, CA, CCN 050243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36335CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Associates Corporation CurrentSince Sep 20, 2017 Accepting new patients
Salomone & Bass, DDS, Apc Oral and Maxillofacial Surgery Past Accepting new patients

Locations

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891701009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72780 EL PASEO",
            "address_2": "SUITE E1",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603391",
            "telephone_number": "760-346-7431",
            "fax_number": "760-341-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72780 EL PASEO",
            "address_2": "SUITE E1",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603391",
            "telephone_number": "760-346-7431",
            "fax_number": "760-341-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "ROBERT",
        "middle_name": "LARRY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "36335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.