Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Joel Tyler Basenback, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629870621

Joel Tyler Basenback, DO is a Student in an Organized Health Care Education/Training Program in Wpafb, Ohio. Licensed in Ohio. Registered with an NPI since 2025.

Licensed in
OH
In the registry since
2025
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

4881 Sugar Maple Dr
Wpafb, OH 45433-5529
Phone: (937) 257-9926
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (OH)
Military Health Care Provider Taxonomy 171000000X (OH)

Record details

NPI number1629870621
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 27, 2025
Last updated in NPPESFebruary 22, 2026
Certification dateFebruary 22, 2026
Mailing address4881 Sugar Maple Dr, Wpafb, OH 45433-5529

Other providers in Wpafb