Ismail Emrah Basaran, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44827 Issued in CA

Practice address

3000 Alamo Dr Ste 103
Vacaville, CA 95687-6345

Phone

(707) 446-1777

NPI assigned

Aug 10, 2011

Last updated

Jun 17, 2012By 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

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.

Opted out of Medicare

Yes, effective Jul 5, 2016 through Jul 5, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339891200000",
    "number": "1932488871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ALAMO DR STE 103",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876345",
            "telephone_number": "707-446-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ALAMO DR STE 103",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876345",
            "telephone_number": "707-446-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASARAN",
        "first_name": "ISMAIL",
        "middle_name": "EMRAH",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-10",
        "last_updated": "2012-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Ann Barry
• John William Bartlett, PHARMD
• Melissa Bartlett, RRT
• Amanda Lynn Bartolomeu, CMT
• Bruce Ian Barton, LCSW
• Nicholett Alexandria Bascou, LPCC 13440
• Genevieve Carol Basham
• Thomas Robert Batter, M.F.T.
• Brent Jeffery Batty, LMFT
• Paula Scott Baum, RN

• General Practice Dentistry in Vacaville, CA
• Providers in Vacaville, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.