Trevor Basta, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6336 Issued in NV

Practice address

840 I St
Ste 3
Sparks, NV 89431-3677

Phone

(775) 358-1870

NPI assigned

Oct 1, 2012

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

Enrolled in NV

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Weiss Dental & Orthodontics Professional Corporation

  • General Practice Dentistry
  • Sparks, NV
  • NPI 1861724551
  NPD (past)

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1962753996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 CANYON DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895197900",
            "telephone_number": "775-250-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 I ST",
            "address_2": "STE 3",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894313677",
            "telephone_number": "775-358-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTA",
        "first_name": "TREVOR",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmille Louise Valencia Barruga
• Jessica Barsumian
• Bonnie Lee Bartlett, HAD, HEALTH COACH
• Shruti Basho, MD
• Thomas A.J. Basora, D.D.S.
• Yisel Pediatric Basurto
• Del M Bates III
• Battleborn Geriatrics PLLC
• Kristen Elizabeth Baughman, APRN
• Gerard Bayonn

• General Practice Dentistry in Sparks, NV
• Providers in Sparks, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.