Individual provider Active NPI

Daniel Babadzhanov, DMD

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1215465901
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
060092 Issued in NY
Practice address
511 Clinton Ave
Brooklyn, NY 11238-2246
Phone
(718) 416-6367
NPI assigned
May 25, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11950 CT
General Practice Dentistry 1223G0001X 060092 NY Primary

Addresses

Primary practice location

511 Clinton Ave
Brooklyn, NY 11238-2246

Mailing address

9931 64TH Ave Apt B15
Rego Park, NY 11374-2658
Phone (631) 552-6324

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
11950CTMDGeneral Practice Dentistry
060092NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Babadzhanov DMD PLLC CurrentSince Aug 30, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1215465901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9931 64TH AVE APT B15",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742658",
            "telephone_number": "631-552-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 CLINTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382246",
            "telephone_number": "718-416-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABADZHANOV",
        "first_name": "DANIEL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-25",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "11950",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "060092",
            "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 Aug 26, 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.