Individual provider Active NPI

Babak Robert Maknoon, RD

  • Registered Dietitian
  • Atlanta, GA
National Provider Identifier
1043087083
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86034070
Practice address
880 W Peachtree St NW Unit 1118
Atlanta, GA 30309-2541
Phone
(310) 699-5489
NPI assigned
Dec 11, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86034070 Primary

Addresses

Primary practice location

880 W Peachtree St NW Unit 1118
Atlanta, GA 30309-2541

Mailing address

880 W Peachtree St NW Unit 1118
Atlanta, GA 30309-2541
Phone (310) 699-5489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1043087083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 W PEACHTREE ST NW UNIT 1118",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092541",
            "telephone_number": "310-699-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W PEACHTREE ST NW UNIT 1118",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092541",
            "telephone_number": "310-699-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKNOON",
        "first_name": "BABAK",
        "middle_name": "ROBERT",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86034070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.