DR. DAVID C BASTACKY DMD
NPI 1164429387
Oral & Maxillofacial Surgery in Baltimore, MD
NPI Status: Active since July 01, 2005
Contact Information
516 N ROLLING RD
SUITE 104
BALTIMORE, MD
ZIP 21228
Phone: (410) 744-4222
Fax: (410) 744-2472
- Individual
- Male
- Oral & Maxillofacial Surgery
- Accepts Insurance
- PECOS Enrolled
About DAVID BASTACKY
This page provides the complete NPI Profile along with additional information for David Bastacky, a provider established in Baltimore, Maryland with a medical specialization in Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1164429387 assigned on July 2005. The practitioner's primary taxonomy code is 204E00000X with license number 10337 (MD). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1164429387
- Provider Name
- DR. DAVID C BASTACKY DMD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 516 N ROLLING RD SUITE 104 BALTIMORE, MD 21228
- Location Phone
- (410) 744-4222
- Location Fax
- (410) 744-2472
- Mailing Address
- 516 N ROLLING RD SUITE 104 BALTIMORE, MD 21228
- Mailing Phone
- (410) 744-4222
- Mailing Fax
- (410) 744-2472
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-01-2005
- Last Update Date
- 09-02-2021
- 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.
- 10337
- License State
- MD
- 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
- 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
- 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
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
David Bastacky 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 | 6 | 4 | 4 | 2 | 9 | 3 | 8 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 8 | 2 | 18 | 3 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 8 + 2 + 1 + 8 + 3 + 1 + 6 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1164429387 is valid because the calculated check digit 7 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 |
|---|---|---|---|
| 1144223132 | DR. PAUL SANGTAEK YI D.D.S. Individual | Dentist (General Practice) | 516 N ROLLING RD STE 102 BALTIMORE, MD 21228 (410) 744-3446 |
| 1861484735 | EUGENE CHARLES SALVO JR. M.D. Individual | Ophthalmology | 516 N ROLLING RD CATONSVILLE, MD 21228 (410) 744-4341 |
| 1356335491 | DR. LEENA D PARIKH M.D. Individual | Pediatrics (Adolescent Medicine) | 516 N ROLLING RD CATONSVILLE, MD 21228 (410) 788-1540 |
| 1306817341 | MARCELINO DANIEL ALBUERNE M.D. Individual | Internal Medicine (Geriatric Medicine) | 516 N ROLLING RD SUITE 106 CATONSVILLE, MD 21228 (410) 744-4044 |
| 1649225731 | DR. ROBERT C. AMMLUNG M.D. Individual | Internal Medicine | 516 N ROLLING RD SUITE 204 CATONSVILLE, MD 21228 (410) 788-7030 |
| 1932136413 | KATHERINE RICKLE PAYNE PT Individual | Physical Therapist | 516 N ROLLING RD SUITE 302 BALTIMORE, MD 21228 (410) 744-1666 |
| 1013932789 | CHO C MAUNG MD Individual | Internal Medicine (Hematology & Oncology) | 516 N ROLLING RD STE 301 CATONSVILLE, MD 21228 (410) 788-6603 |
| 1538172903 | DR. MICHAEL LARRY DAVIDSON D.D.S. Individual | Dentist (General Practice) | 516 N ROLLING RD SUITE 207 BALTIMORE, MD 21228 (410) 747-8029 |
| 1245355312 | DAVID C BASTACKY DMD PA Organization | Dentist (Oral and Maxillofacial Surgery) | 516 N ROLLING RD SUITE 104 BALTIMORE, MD 21228 (410) 744-4222 |
| 1316155377 | MARCELINO D. ALBUERNE, M.D. P.A. Organization | Internal Medicine (Geriatric Medicine) | 516 N ROLLING RD SUITE 106 CATONSVILLE, MD 21228 (410) 744-4044 |
| 1215110085 | CHO C.MAUNG, MD, PA Organization | Internal Medicine (Hematology & Oncology) | 516 N ROLLING RD SUITE 301 CATONSVILLE, MD 21228 (410) 788-6603 |
| 1932340312 | ROBERT C. AMMLUNG, M.D.P.A. Organization | Internal Medicine | 516 N ROLLING RD SUITE 204 CATONSVILLE, MD 21228 (410) 788-0383 |
| 1144552373 | DR. BAHMAN GUIV DDS Individual | Dentist (General Practice) | 516 N ROLLING RD SUITE 202 CATONSVILLE, MD 21228 (410) 788-8848 |
| 1396054516 | MELISSA BROOKE YOUNG PTA Individual | Physical Therapy Assistant | 516 N ROLLING RD SUITE 302 CATONSVILLE, MD 21228 (410) 744-1666 |
| 1215227509 | CHARITY KERUBO OMWOYO NP-C Individual | Nurse Practitioner (Adult Health) | 516 N ROLLING RD SUITE 107 CATONSVILLE, MD 21228 (410) 744-0890 |
| 1114164308 | AADVANCE HOME HEALTH SERVICES, LLC Organization | Nursing Care | 516 N ROLLING RD SUITE# 303 CATONSVILLE, MD 21228 (410) 744-8200 |
| 1568460996 | DR. JENNIFER L ERAS M.D. Individual | Internal Medicine (Nephrology) | 516 N ROLLING RD SUITE 304 CATONSVILLE, MD 21228 (410) 744-0890 |
| 1598726655 | NICHOL L O'MARR CRNP Individual | Nurse Practitioner | 516 N ROLLING RD SUITE 304 CATONSVILLE, MD 21228 (410) 744-0890 |
| 1376972851 | TERRI FOREMAN Individual | Physical Therapist | 516 N ROLLING RD SUITE 302 CATONSVILLE, MD 21228 (410) 744-1666 |
| 1568831329 | AMANDA ROTHENBECKER CRNP Individual | Nurse Practitioner (Family) | 516 N ROLLING RD SUITE 304 CATONSVILLE, MD 21228 (410) 744-0890 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164429387, enumerated in the NPI registry as an "individual" on July 01, 2005
The provider is located at 516 N Rolling Rd Suite 104 Baltimore, Md 21228 and the phone number is (410) 744-4222
The provider's speciality is Oral & Maxillofacial Surgery with taxonomy code 204E00000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. 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 July 01, 2005. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.