Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215469564 Individual Practitioner Male Practitioner

Dr. Jason Alexander Bastida , DDS

Dentist - General Practice • Elmhurst, NY

Professional Overview & Biography Verified Profile Summary

Dr. Jason Bastida, DDS is a registered healthcare professional specializing in Dentist - General Practice in Elmhurst, NY. Practice services are available at 4014 82ND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4014 82nd St

Elmhurst, NY 113731305

Telephone 7183977777
Associated Practice Facility / Clinic
🏢 New York Dental Services Pllc Facility NPI 1467937722

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Elmhurst, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
50 Specialists

Practicing in Elmhurst, NY (8411 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-04
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 059967

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

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.

Secondary Practice Locations

114a Greenpoint Ave

Brooklyn, NY 112222202

Phone: 3473826814

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Ismael Bastida , DDS

Dentist - General Practice

NPI 1073526505

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Business Mailing Address June 04, 2025

Registered at 114A GREENPOINT AVE, BROOKLYN, NY 112222202 (Tel: 3473826814)

📍
Updated Business Mailing Address December 28, 2022

Registered at 3565 86TH ST APT 1B, JACKSON HEIGHTS, NY 113725601 (Tel: 6466759671)

📍
Updated Business Mailing Address May 22, 2019

Registered at 4014 82ND ST, ELMHURST, NY 113731305 (Tel: 6466759671)

📍
Updated Practice Location May 22, 2019

Registered at 4014 82ND ST, ELMHURST, NY 113731305 (Tel: 7183977777)

👤
Provider Name / Credentials Updated May 22, 2019

Recorded as JASON BASTIDA, DDS

NPI Profile Active March 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2017

Registered at 200 OLD COUNTRY RD, SUITE 460, MINEOLA, NY 115014235 (Tel: 5166631152)

📍
Updated Business Mailing Address March 28, 2017

Registered at 200 OLD COUNTRY RD, SUITE 460, MINEOLA, NY 115014235

👤
Provider Name / Credentials Updated March 28, 2017

Recorded as JASON BASTIDA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 28, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215469564
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2017
Last Update: June 04, 2025
Sole Proprietor: No

Mailing Address

114a Greenpoint Ave

Brooklyn, NY 112222202

Phone: 3473826814

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.