Carly Paige Bachus, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901601791 Issued in MI

Practice address

2911 W Grand Blvd Apt 2136
Detroit, MI 48202-2645

Phone

(647) 308-9454

NPI assigned

Aug 3, 2023

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1932881513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 W GRAND BLVD APT 2136",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022645",
            "telephone_number": "647-308-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 W GRAND BLVD APT 2136",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022645",
            "telephone_number": "647-308-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHUS",
        "first_name": "CARLY",
        "middle_name": "PAIGE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901601791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Bacani
• Matthew D Bach, PA-C
• Ali Hussein Bacharouch
• Hannah Marie Bachir, RN
• Nasam Mary Bachuri, MD
• Brian N. Bachynski, M.D.
• Frank Baciewicz Jr., MD
• Alcesa Abelgas Backos, MD FAAP
• Opal M Bacon, PHARMD
• Rhonda Bacon

• General Practice Dentistry in Detroit, MI
• Providers in Detroit, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.