Organization Active NPI

Joseph P. Baslice D.D.S.

  • General Practice Dentistry
  • Dix Hills, NY
National Provider Identifier
1992824379
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
034844 Issued in NY
Legal business name
JOSEPH P. BASLICE D.D.S.
Practice address
34 Lucille LN
Dix Hills, NY 11746-5810
Phone
(631) 673-6723
Fax
(631) 427-1931
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Joseph Parkman Basilice, D.D.S.
Title
Owner
Phone
(631) 673-6723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 034844 NY Primary

Addresses

Primary practice location

34 Lucille LN
Dix Hills, NY 11746-5810

Mailing address

34 Lucille LN
Dix Hills, NY 11746-5810
Phone (631) 673-6723

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1992824379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 LUCILLE LN",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465810",
            "telephone_number": "631-673-6723",
            "fax_number": "631-427-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 LUCILLE LN",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465810",
            "telephone_number": "631-673-6723",
            "fax_number": "631-427-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH P. BASLICE D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "BASILICE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PARKMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-673-6723",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "034844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dix Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.