DR. JUSTIN KEITH BASS (NPI# 1093267585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093267585 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN KEITH BASS |
| Credential | DMD |
| Practice Address |
119 Gregory Blvd #44 Norwalk CT 06855 |
| Practice Telephone | 2032990020 |
| Mailing Telephone | 2032990020 |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
007751 | CT | Dental Providers |
| Street Address |
119 GREGORY BLVD #44 |
| City | NORWALK |
| State | CT |
| Zip Code | 06855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295093474 | John F. Piro | Surgery | 4 Cavray Road East, Norwalk, CT 06855 | 2012-04-25 |
| 1023492873 | Valerie N Hardenbergh | Pharmacist | 190 East Ave, Norwalk, CT 06855 | 2015-07-10 |
| 1518130343 | Genevieve Marie Robinson | Pharmacist | 190 East Ave, Norwalk, CT 06855-1112 | 2008-04-13 |
| 1477662757 | Rite Aid of Connecticut Inc | Durable Medical Equipment & Medical Supplies | 190 East Avenue, Norwalk, CT 06855-1112 | 2006-08-30 |
| 1255977815 | Denis Dasilva | Pharmacist | 190 East Ave, Norwalk, CT 06855-1112 | 2019-11-19 |
| 1609371947 | Mohammed A Ullah | Pharmacist | 190 East Ave, Norwalk, CT 06855-1112 | 2018-03-28 |
| 1023531092 | Walgreen Co | Pharmacy | 190 East Ave, Norwalk, CT 06855-1112 | 2017-07-21 |
| 1295257434 | Jennifer Mitri | Pharmacist | 190 East Ave, Norwalk, CT 06855-1112 | 2017-07-10 |
| 1760903884 | Connie Susanna Levy | Pharmacist | 190 East Ave, Norwalk, CT 06855-1112 | 2017-06-28 |
| 1215388210 | Ted Chan | Pharmacist | 190 East Ave, Norwalk, CT 06855-1112 | 2016-06-30 |
| Find all providers in zip 06855 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894831 | Chia-hua Pai | Dentist | 10 Mott Ave Ste 3c, Norwalk, CT 06850-3320 | 2020-09-04 |
| 1568991636 | Bibko Orthodontics LLC | Dentist | 346 Main Ave Ste D, Norwalk, CT 06851-1591 | 2017-06-12 |
| 1760812580 | Norwalk Orthodontics Associattes | Dentist | 71 East Ave Ste 2q, Norwalk, CT 06851-4903 | 2013-11-14 |
| 1891136503 | Amy Yonina Harel | Dentist | 4 Summer St Apt A201, Norwalk, CT 06851-4557 | 2013-07-10 |
| 1639481294 | Aditya Chhibber | Dentist | 137 Benedict Ave, Norwalk, OH 44857-2340 | 2010-07-11 |
| 1972820678 | Allen Jacobson, Dds, PC | Dentist | 11005 Firestone Blvd Ste 106, Norwalk, CA 90650-2224 | 2010-04-21 |
| 1437319803 | Allen Jacobson | Dentist | 11005 Firestone Blvd, Norwalk, CA 90650-2224 | 2008-06-10 |
| 1316321573 | Ct Braces Norwalk Orthodontics PC | Dentist | 346 Main Ave, Suite D, Norwalk, CT 06851-4903 | 2015-07-16 |
| 1710386933 | Diamond Braces of Norwalk Connecticut LLC | Dentist | 148 East Ave, Suite 3h, Norwalk, CT 06851-5721 | 2014-08-14 |
| 1821439084 | Norwalk Orthodontics | Dentist | 10 Mott Ave, Suite 3c, Norwalk, CT 06850-3320 | 2013-07-16 |
| Find all providers in NORWALK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.