DR. CARL LEE BASS III D.D.S.
NPI 1275556060
Dentist - General Practice in Statesville, NC

Active since July 25, 2006Opted out of Medicare · through Oct 7, 2027
646 SIGNAL HILL DRIVE EXT, STATESVILLE, NC 28625(704) 873-3321 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Carl Lee Bass Iii D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CARL LEE BASS III D.D.S. (NPI 1275556060) is an individual general practice provider in Statesville, North Carolina, licensed in North Carolina (6420) and active in the NPI registry since July 2006. He has opted out of Medicare through October 7, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1275556060
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CARL LEE BASS IIICredential: D.D.S.
Location Address646 SIGNAL HILL DRIVE EXTStatesville, NC 28625-4353
Mailing Address646 Signal Hill Drive ExtStatesville, NC 28625-4353 · (704) 873-3321
Sole ProprietorYes
Enumeration DateJuly 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1275556060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NC · 6420
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
646 SIGNAL HILL DRIVE EXT, Statesville, NC 28625

Other Names 1

Other Name (5)Dr. C. Lee Bass D.d.s.

Other Identifiers 2

Other90511NC · Bcbsnc
Other467563NC · United Concordia

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Carl Lee Bass Iii D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 7, 2015 through October 7, 2027.

Opt-Out Effective DateOctober 7, 2015
Opt-Out In Effect ThroughOctober 7, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28625 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
646 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carl Bass's NPI number?

The NPI number for Carl Bass is 1275556060. It was assigned to this individual provider in the NPPES registry on July 25, 2006. The provider is also known as Dr. C. Lee Bass D.D.S..

Where is Carl Bass located?

Carl Bass practices at 646 Signal Hill Drive Ext, Statesville, NC 28625. The listed phone number is (704) 873-3321.

What is Carl Bass's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Carl Bass enrolled in Medicare?

No. Carl Bass has opted out of Medicare through October 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Carl Bass accept?

Health plans from Delta Dental of North Carolina list Carl Bass as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carl Bass was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.