Individual provider Active NPI

Bamshad Partovi Tabar, D.D.S.

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1134360696
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
054199 Issued in NY
Practice address
1122 Eastern Pkwy
Brooklyn, NY 11213-4802
Phone
(718) 467-6800
Fax
(718) 467-6801
NPI assigned
Mar 13, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 054199 NY Primary

Addresses

Primary practice location

1122 Eastern Pkwy
Brooklyn, NY 11213-4802

Mailing address

86 Bay 26TH St
Apt: C6
Brooklyn, NY 11214-4948
Phone (703) 200-6176

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
054199NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1134360696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 BAY 26TH ST",
            "address_2": "APT: C6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144948",
            "telephone_number": "703-200-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 EASTERN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134802",
            "telephone_number": "718-467-6800",
            "fax_number": "718-467-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABAR",
        "first_name": "BAMSHAD",
        "middle_name": "PARTOVI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-13",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "054199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.