Nicole Ann Bashar, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

007453 Issued in CT

Practice address

40 Mansfield Ave
Willimantic, CT 06226-2018

Phone

(860) 750-7471

Fax

(860) 450-9808

NPI assigned

Mar 20, 2012

Sex

Female

Sole proprietor

No

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, last updated by the provider on May 8, 2015.

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1982979258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MANSFIELD AVE",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262018",
            "telephone_number": "860-450-7471",
            "fax_number": "860-450-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MANSFIELD AVE",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262018",
            "telephone_number": "860-750-7471",
            "fax_number": "860-450-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHAR",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CT",
            "license": "007453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassandrah Daniella Banks, LMSW
• Vicki Lynn Barbero, M.ED.,LADC
• Kelli T Barbone
• Mary Elizabeth Barry, M.D.
• Amy Bartlett, R.PH.
• Burton T Bates
• Tyler C Beckwith
• Amy Rose Benenson, MSPAS, PA-C
• Tara Bergeron, LMSW
• William Bergmann

• All providers in Willimantic, CT
• Dental Hygienist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.