NPIMap

Organization Active NPI

Lilibeth L. Babao, DDS, a Professional Dental Corporation

  • Dentist
  • Palm Desert, CA
National Provider Identifier
1184845562
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
43415 Issued in CA
Legal business name
LILIBETH L. BABAO, DDS, A PROFESSIONAL DENTAL CORPORATION
Practice address
73625 Highway 111 Ste E
Palm Desert, CA 92260-4010
Phone
(760) 674-8114
Fax
(760) 674-8115
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lilibeth Lacandula Babao, DDSNPI 1942637244
Title
President
Phone
(760) 674-8114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 43415 CA Primary

Addresses

Primary practice location

73625 Highway 111 Ste E
Palm Desert, CA 92260-4010

Mailing address

73625 Highway 111 Ste E
Palm Desert, CA 92260-4010
Phone (760) 674-8114

National Provider Directory

National Provider Directory

Locations

73625 Highway 111
Ste E
Palm Desert, CA 92260
Phone (760) 674-8114

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184845562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73625 HIGHWAY 111 STE E",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604010",
            "telephone_number": "760-674-8114",
            "fax_number": "760-674-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73625 HIGHWAY 111 STE E",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604010",
            "telephone_number": "760-674-8114",
            "fax_number": "760-674-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILIBETH L. BABAO, DDS, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BABAO",
        "authorized_official_first_name": "LILIBETH",
        "authorized_official_middle_name": "LACANDULA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-674-8114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "43415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.