Individual provider Active NPI

Edward George Babits, DDS

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1073526216
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
AZ2734 Issued in AZ
Practice address
1440 E Missouri Ave
Suite 125
Phoenix, AZ 85014
Phone
(602) 956-2241
Fax
(602) 957-1168
NPI assigned
Aug 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X AZ2734 AZ Primary

Addresses

Primary practice location

1440 E Missouri Ave
Suite 125
Phoenix, AZ 85014

Mailing address

1440 E Missouri Ave
Suite 125
Phoenix, AZ 85014
Phone (602) 956-2241

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

State licenses

LicenseStateTypeSpecialty
AZ2734AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Dental Design, PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073526216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 E MISSOURI AVE",
            "address_2": "SUITE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85014",
            "telephone_number": "602-956-2241",
            "fax_number": "602-957-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 E MISSOURI AVE",
            "address_2": "SUITE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85014",
            "telephone_number": "602-956-2241",
            "fax_number": "602-957-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABITS",
        "first_name": "EDWARD",
        "middle_name": "GEORGE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "AZ2734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.