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JOEL TYLER BASENBACK DO
NPI 1629870621
Student in an Organized Health Care Education/Training Program in Wpafb, OH

Active since March 27, 2025PECOS Enrolled
4881 SUGAR MAPLE DR, WPAFB, OH 45433(937) 257-9926 Get Directions Write a Review

NPPES record last updated: February 22, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 9, 2025, Mar 27, 2025 (2 updates tracked since 2025).

About Joel Tyler Basenback Do NPPES

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

JOEL TYLER BASENBACK DO (NPI 1629870621) is an individual student in an organized health care education/training program in Wpafb, Ohio and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629870621
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOEL TYLER BASENBACKCredential: DO
Location Address4881 SUGAR MAPLE DRWpafb, OH 45433-5529
Mailing Address4881 Sugar Maple DrWpafb, OH 45433-5529 · (937) 257-9926
Phone(937) 257-9926
Sole ProprietorNo
Enumeration DateMarch 27, 2025
Last NPPES UpdateFebruary 22, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2026
✔ NPI 1629870621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
4881 SUGAR MAPLE DR, Wpafb, OH 45433
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joel Tyler Basenback Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

MR. JAMES REBELLO III
Pharmacist
4881 SUGAR MAPLE DR
FAIRBORN, OH 45433
Greene County (937) 257-9014
CARLA HUELSKAMP PHARMD
Pharmacist
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-9696
JOHN ALAN ARTHUR
Internal Medicine
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Greene County (937) 257-4482
ALEXIS D OWEN
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-1574
GREGORY JAMES MORSE M.D.
Radiology (Nuclear Radiology)
4881 SUGAR MAPLE DR, 88 DTS/SGQX
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-9679
KENDRA M. SCHMUCK RD LD
Dietitian, Registered
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Greene County (937) 257-8815
MATTHEW PHILIP SCULLY IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (616) 717-0169
KAREN LEWIS RTT
Radiologic Technologist (Radiation Therapy)
4881 SUGAR MAPLE DR, 88TH MDOS/SGOMR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-4159

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 Joel Basenback's NPI number?

The NPI number for Joel Basenback is 1629870621. It was assigned to this individual provider in the NPPES registry on March 27, 2025.

Where is Joel Basenback located?

Joel Basenback practices at 4881 Sugar Maple Dr, Wpafb, OH 45433. The listed phone number is (937) 257-9926.

What is Joel Basenback's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Joel Basenback enrolled in Medicare?

Yes. Joel Basenback is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joel Basenback was last updated on February 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.