DAVID L BASI DMD PHD
NPI 1104898626
Oral & Maxillofacial Surgery in Minneapolis, MN
NPI Status: Active since February 07, 2006
Contact Information
515 DELAWARE ST SE
7-174 MOOS TOWER
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 624-4435
Fax: (612) 624-2669
- Individual
- Male
- Oral & Maxillofacial Surgery
- Accepts Insurance
- PECOS Enrolled
About DAVID BASI
This page provides the complete NPI Profile along with additional information for David Basi, a provider established in Minneapolis, Minnesota with a medical specialization in Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1104898626 assigned on February 2006. The practitioner's primary taxonomy code is 204E00000X with license number D11692 (MN). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1104898626
- Provider Name
- DAVID L BASI DMD PHD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 515 DELAWARE ST SE 7-174 MOOS TOWER MINNEAPOLIS, MN 55455
- Location Phone
- (612) 624-4435
- Location Fax
- (612) 624-2669
- Mailing Address
- 2854 HIGHWAY 55 SUITE 130 EAGAN, MN 55121
- Mailing Phone
- (651) 842-3344
- Mailing Fax
- (612) 624-2669
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-07-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Oral & Maxillofacial Surgery
- Taxonomy Code
- 204E00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- D11692
- License State
- MN
- Taxonomy Description
- Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 9200 (+ Incentives) - HMO
- Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 9200 (+ Incentives) - EPO
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Catastrophic Pathway 9200 (+ Incentives) - EPO
- Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Standard - HMO
- Catastrophic Standard - HMO
- Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Standard - HMO
- Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Silver Standard - HMO
- Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Standard - HMO
- Catastrophic Standard - HMO
- Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Standard - HMO
- Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Silver Standard - HMO
- BEST Life Superior Dental Plan - PPO
- BEST Essential Basic Dental Plan - PPO
- BEST Life Essentail Basic Dental Plan - PPO
- BEST Life Essentail Value Dental Plan - PPO
- BEST Life Essental Value Dental Plan - PPO
- BEST Life Essential Basic Dental - PPO
- BEST Life Essential Basic Dental Plan - PPO
- BEST Life Essential Basic Dental - PPO
- BEST Life Essential Basic Dental Plan - PPO
- BEST Life Essential Vakue Dental Plan - PPO
- BEST Life Essential Value Dental Plan - PPO
- BEST Life Essential Value Dental - PPO
- BEST Life Essential Value Dental Plan - PPO
- BEST Life Preferred Dental Plan - PPO
- BEST Life Preferred Dental - PPO
- BEST Life Preferred Dental Plan - PPO
- BEST Life Preferred Dental plan - PPO
- BEST Life Superior Dental - PPO
- BEST Life Superior Dental Plan - PPO
- BEST Life Superior Dental Plan - PPO
- Blue HSA Bronze - PPO
- Blue Protect - PPO
- Blue Saver Bronze - PPO
- Blue Value Gold - PPO
- Blue Value Silver - PPO
- Blue Access Gold for Business - PPO
- Blue Choice Platinum for Business - PPO
- Blue HSA Silver for Business - PPO
- Blue Saver Bronze for Business - PPO
- Blue Saver Gold for Business - PPO
- Blue Secure Gold for Business - PPO
- Blue Secure Silver for Business - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueDental Copayment Q - PPO
- BlueDental Copayment QF - PPO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
- Humana Dental Smart Choice Basic - PPO
- Humana Dental Smart Choice- Lite - PPO
- Paramount Dental Essential Plus Plan - EPO
- Paramount Dental Preventive Family Plan - EPO
- Paramount Dental Total Care Plan - EPO
- HRI Essential Plus Plan - HMO
- HRI Essential Plus Plan - PPO
- HRI Preventive Family Plan - HMO
- HRI Preventive Family Plan - PPO
- HRI Total Care Plan - HMO
- HRI Total Care Plan - PPO
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Illinois - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Tennessee - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
U92959 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
David Basi is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 1 | 0 | 4 | 8 | 9 | 8 | 6 | 2 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 0 | 4 | 16 | 9 | 16 | 6 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 1 + 0 + 4 + 1 + 6 + 9 + 1 + 6 + 6 + 4 + 24 = 64 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 64 = 6 | 6 |
The NPI number 1104898626 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1134156524 | DR. CLENNAN C ANDERSON DDS Individual | Dentist (Oral and Maxillofacial Surgery) | 515 DELAWARE ST SE 7TH FLOOR MMHST MINNEAPOLIS, MN 55455 (612) 624-9959 |
1861429250 | DR. PAUL H KWON DDS Individual | Dentist (Oral and Maxillofacial Surgery) | 515 DELAWARE ST SE 7TH FLOOR MMHST MINNEAPOLIS, MN 55455 (612) 624-7133 |
1407884554 | DR. RICHARD PATRICK MADDEN DDS Individual | Dentist (General Practice) | 515 DELAWARE ST SE ROOM 16-116 MINNEAPOLIS, MN 55455 (612) 624-3130 |
1003848086 | DR. MICHAEL W. LEHNERT DDS Individual | Dentist (Oral and Maxillofacial Surgery) | 515 DELAWARE ST SE 7TH FLOOR, MMHST MINNEAPOLIS, MN 55455 (612) 624-7133 |
1730105180 | DR. MARYANN C SABINO D.D.S Individual | Dentist (Oral and Maxillofacial Surgery) | 515 DELAWARE ST SE 7-174 MOOS TOWER MINNEAPOLIS, MN 55455 (612) 624-4435 |
1134230022 | RAJARAM GOPALAKRISHNAN DDS Individual | Dentist (Oral and Maxillofacial Pathology) | 515 DELAWARE ST SE 16-116 MOOS TOWER MINNEAPOLIS, MN 55455 (612) 626-5844 |
1447361332 | IOANNIS KOUTLAS DDS Individual | Dentist (Oral and Maxillofacial Pathology) | 515 DELAWARE ST SE 16-116 MOOS TOWER MINNEAPOLIS, MN 55455 (612) 626-5844 |
1427169317 | MICHAEL DAVID ROHRER DDS Individual | Dentist (Oral and Maxillofacial Pathology) | 515 DELAWARE ST SE 16-116 MOOS TOWER MINNEAPOLIS, MN 55455 (612) 626-5844 |
1417058603 | KEVIN NEIL NAKAGAKI DDS Individual | Dentist | 515 DELAWARE ST SE HOSPITAL DENTAL CLINIC MINNEAPOLIS, MN 55455 (612) 626-6529 |
1700987989 | ROBERT F HIRSCH DDS Individual | Dentist | 515 DELAWARE ST SE CLINICAL SYSTEMS MINNEAPOLIS, MN 55455 (612) 626-6529 |
1134220478 | ANNA KRISTIN THURMES SLP Individual | Speech-Language Pathologist | 515 DELAWARE ST SE CLEFT PALATE CLINIC MINNEAPOLIS, MN 55455 (612) 626-6529 |
1982705141 | KAREN L DECKER PT Individual | Physical Therapist | 515 DELAWARE ST SE TMD CLINIC MINNEAPOLIS, MN 55455 (612) 626-0140 |
1336240522 | RAMESH KUMAR KUBA DDS Individual | Dentist (Oral and Maxillofacial Radiology) | 515 DELAWARE ST SE ORAL AND MAXILLOFACIAL RADIOLOGY MINNEAPOLIS, MN 55455 (612) 626-6529 |
1689775835 | BRENT EVANS LARSON DDS Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 515 DELAWARE ST SE ORTHODONTICS CLINIC MINNEAPOLIS, MN 55455 (612) 626-6529 |
1124129382 | GARY MICHAEL GOLDETSKY Individual | Psychologist (Rehabilitation) | 515 DELAWARE ST SE TMD CLINIC MINNEAPOLIS, MN 55455 (612) 626-6529 |
1962503136 | KARLIND THEODORE MOLLER SLP Individual | Speech-Language Pathologist | 515 DELAWARE ST SE CLEFT PALATE CLINIC MINNEAPOLIS, MN 55455 (612) 626-6529 |
1043311210 | HEATHER JOAN CONRAD DDS Individual | Dentist (Prosthodontics) | 515 DELAWARE ST SE SCHOOL OF DENTISTRY MINNEAPOLIS, MN 55455 (612) 625-2495 |
1376634139 | CRAIG GUY SELDEN DDS Individual | Dentist | 515 DELAWARE ST SE 7-530 MOOS TOWER MINNEAPOLIS, MN 55455 (612) 626-6529 |
1255411203 | DR. JOHN P BEYER D.D.S., PH.D. Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 515 DELAWARE ST SE 6-320 MOOS TOWER MINNEAPOLIS, MN 55455 (612) 625-3903 |
1881779346 | DR. JEFFREY F CARLSON DDS, MS Individual | Dentist (Periodontics) | 515 DELAWARE ST SE MINNEAPOLIS, MN 55455 (612) 626-3468 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104898626, enumerated in the NPI registry as an "individual" on February 07, 2006
The provider is located at 515 Delaware St Se 7-174 Moos Tower Minneapolis, Mn 55455 and the phone number is (612) 624-4435
The provider's speciality is Oral & Maxillofacial Surgery with taxonomy code 204E00000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Antidote Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on February 07, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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