Syed Rehan Bashar, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE00009509 Issued in WA

Practice address

10004 204TH Ave E Ste 2500
Bonney Lake, WA 98391-6539

Phone

(253) 447-8344

Fax

(253) 447-8580

NPI assigned

Jul 31, 2006

Last updated

Dec 25, 2021By the provider in NPPES

Sex

Male

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

Practice roles

Locations

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

• Rehan Bashar DDS PLLC

  dba Crescent Dental Bonney Lake

  • Dental Clinic/Center
  • Bonney Lake, WA
  • NPI 1801554084
  NPD Authorized official
• Issaquah Valley Dental Care

  • General Practice Dentistry
  • Issaquah, WA
  • NPI 1407191265
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640390400000",
    "number": "1952317372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 204TH AVE E STE 2500",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983916539",
            "telephone_number": "253-447-8344",
            "fax_number": "253-447-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 204TH AVE E STE 2500",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983916539",
            "telephone_number": "253-447-8344",
            "fax_number": "253-447-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHAR",
        "first_name": "SYED",
        "middle_name": "REHAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2021-12-25",
        "certification_date": "2021-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00009509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Barker
• Amber Barni
• Tara Susan Barrentine, PMHNP
• Lisa Lyn Barrientos-Haase, LMP
• Karen Victoria Barrier, NBC-HWC
• Michaela Batalon, PA-C
• Kordale Tre Bavor, NP
• Krysta L Baxter, LMP
• David Nicholas Beaird, DPT
• Eva Beal

• Dentist in Bonney Lake, WA
• Providers in Bonney Lake, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2021; 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.