BASSAM A ISSA B.D.S.
NPI 1659699379
Dentist - General Practice in Charlotte, NC

Q: What is Bassam Issa's NPI number?

The NPI number for Bassam Issa is 1659699379. It was assigned to this individual provider in the NPPES registry on May 5, 2010.

Q: What is Bassam Issa's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bassam Issa was last updated on April 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since May 05, 2010PECOS Enrolled

1000 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 355-4197(704) 355-5301 Get Directions Write a Review

NPPES record last updated: April 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Bassam A Issa B.d.s. NPPES

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

BASSAM A ISSA B.D.S. (NPI 1659699379) is an individual general practice provider in Charlotte, North Carolina, licensed in North Carolina (AC5385578-R608) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659699379

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameBASSAM A ISSACredential: B.D.S.

Location Address1000 BLYTHE BLVDCharlotte, NC 28203-5812

Mailing Address1000 Blythe BlvdCharlotte, NC 28203-5812 · (704) 355-4197 · Fax (704) 355-5301

Phone(704) 355-4197

Fax(704) 355-5301

Sole ProprietorYes

Enumeration DateMay 5, 2010

Last NPPES UpdateApril 12, 2016

✔ NPI 1659699379 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 · AC5385578-R608

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.

1000 BLYTHE BLVD, Charlotte, NC 28203

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bassam A Issa B.d.s. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28203 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 20

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

JENNIFER EGAN M.D.

Pathology (Clinical Pathology/Laboratory Medicine)