Babak Shahrokh DMD Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BABAK SHAHROKH DMD INC

Practice address

955 Boardwalk Ste 204
San Marcos, CA 92078-2659

Phone

(760) 471-9560

Fax

(760) 471-9574

NPI assigned

May 14, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Babak Shahrokh, DMDNPI 1922312529

Title

Owner

Phone

(760) 471-9560

Specialties & licenses 1

Addresses

Other names 1

• san marcos dental studio Doing business as

Locations

Practitioners 1

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

• Babak Shahrokh, DMD

  • General Practice Dentistry
  • San Marcos, CA
  • NPI 1922312529
  NPD Authorized official

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1194381251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 S RANCHO SANTA FE RD STE 105",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782338",
            "telephone_number": "760-471-9560",
            "fax_number": "760-471-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 BOARDWALK STE 204",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782659",
            "telephone_number": "760-471-9560",
            "fax_number": "760-471-9574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7340 Miramar Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921264213",
            "country_code": "US",
            "telephone_number": "858-397-2201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BABAK SHAHROKH DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "SHAHROKH",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-471-9560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "san marcos dental studio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "san marcos dental studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yaquelin Avilez
• Leonardo Ayala
• Mariela Ayon
• Ali Azin
• Ashley Azin, MA, MS, LMFT
• Jordan Baca
• Theresa Hoang Thuy Bach, PHARMD.
• Denver Brendan-Carter Baer
• Adrian Masanga Bagamasbad, PHARM.D.
• Ann E Bailey, D.C.

• General Practice Dentistry in San Marcos, CA
• Providers in San Marcos, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.