Organization Active NPI

Paul Babakhanof, D.D.S. Incorporated

  • Dentist
  • Lancaster, CA
National Provider Identifier
1144695362
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54585 Issued in CA
Legal business name
PAUL BABAKHANOF, D.D.S. INCORPORATED
Practice address
2809 W Avenue L
Lancaster, CA 93536-4021
Phone
(661) 418-2390
Fax
(661) 998-8037
NPI assigned
Dec 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Dr. Paul Babakhanof, D.D.S.
Title
President
Phone
(661) 418-2390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 54585 CA Primary

Addresses

Primary practice location

2809 W Avenue L
Lancaster, CA 93536-4021

Mailing address

2809 W Avenue L
Lancaster, CA 93536-4021
Phone (661) 418-2390

Other names 1

  • Paul Babakhanof, D.D.S. Incorporated Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Paul Babakhanof DDS Incorporated2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2809 W Avenue L
Lancaster, CA 93536
Phone (661) 418-2390

NPI Registry JSON

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1144695362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 W AVENUE L",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935364021",
            "telephone_number": "661-418-2390",
            "fax_number": "661-998-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 W AVENUE L",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935364021",
            "telephone_number": "661-418-2390",
            "fax_number": "661-998-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL BABAKHANOF, D.D.S. INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-14",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "BABAKHANOF",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-418-2390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "54585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paul Babakhanof, D.D.S. Incorporated",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.