Ilya Meyer Babeck, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN17365 Issued in FL

Practice address

6209 W Commercial Blvd
Suite #6
Tamarac, FL 33319-2335

Phone

(954) 726-3200

Fax

(954) 276-0372

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Ilya Meyer Bababekov Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Harvey Moskowitz DMD,PA

  • General Practice Dentistry
  • Tamarac, FL
  • NPI 1013292945

  General Practice

  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164576591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6209 W COMMERCIAL BLVD",
            "address_2": "SUITE #6",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333192335",
            "telephone_number": "954-726-3200",
            "fax_number": "954-276-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6209 W COMMERCIAL BLVD",
            "address_2": "SUITE #6",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333192335",
            "telephone_number": "954-726-3200",
            "fax_number": "954-276-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABECK",
        "first_name": "ILYA",
        "middle_name": "MEYER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043110",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ILYA",
            "last_name": "BABABEKOV",
            "middle_name": "MEYER",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carlos R Azaret, MD
• Aleksandr Azbel, DDS
• Azeem M Sachedina MD PA
• B & B Loving Home Care, LLC
• B.S.S. International, Inc
• Baby Steps OBGYN LLC
• Back to Mind Tamarac LLC
• Backinaction Tamarac
• Backtomind H
• Angelina Denise Bacon Smith, LMT

• All providers in Tamarac, FL
• General Practice Dentistry in Florida

• 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.