Organization Active NPI

Babcock Dental Center

  • Dental Clinic/Center
  • Palm Bay, FL
National Provider Identifier
1104104496
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BABCOCK DENTAL CENTER
Practice address
4711 Babcock St NE
Suite #28
Palm Bay, FL 32905-2805
Phone
(321) 984-1991
Fax
(321) 984-0975
NPI assigned
Aug 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Authorized official

Name
Syed Z Quadri, D.M.D.
Title
Owner/Doctor
Phone
(321) 984-1991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4711 Babcock St NE
Suite #28
Palm Bay, FL 32905-2805

Mailing address

4711 Babcock St NE
Suite #28
Palm Bay, FL 32905-2805
Phone (321) 984-1991

National Provider Directory

National Provider Directory

Locations

4711 Babcock St NE
Ste 28
Palm Bay, FL 32905
Phone (321) 984-1991

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1104104496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 BABCOCK ST NE",
            "address_2": "SUITE #28",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052805",
            "telephone_number": "321-984-1991",
            "fax_number": "321-984-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 BABCOCK ST NE",
            "address_2": "SUITE #28",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052805",
            "telephone_number": "321-984-1991",
            "fax_number": "321-984-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABCOCK DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "QUADRI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "321-984-1991",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.