Individual provider Active NPI

Kaveh Behbahani, DMD

  • General Practice Dentistry
  • Bakersfield, CA
National Provider Identifier
1235752601
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
110970 Issued in CA
Practice address
1201 24TH St
Bakersfield, CA 93301-2300
Phone
(602) 326-0616
NPI assigned
May 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 110970 CA Primary
Dentist 122300000X DD5292 NM
Dentist 122300000X D010747 AZ
General Practice Dentistry 1223G0001X 12014260A IN

Addresses

Primary practice location

1201 24TH St
Bakersfield, CA 93301-2300

Mailing address

4537 E Molly LN
Cave Creek, AZ 85331-6682
Phone (602) 561-6202

Other practice location 1

6232 N 7th St Ste 201
Phoenix, AZ 85014-1852
Phone (602) 246-0385

Other practice location 2

1620 Main St NW Ste D
Los Lunas, NM 87031-4891
Phone (505) 565-0651

Other practice location 3

2512 Wabash Ave
Terre Haute, IN 47803-1506
Phone (812) 803-2340

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
D010747AZMDDentist
DD5292NMMDDentist
110970CAMDGeneral Practice Dentistry
12014260AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Familia Dental Los Lunas LLC Dentist CurrentSince Jun 27, 2021 Accepting new patients
Family Smiles, LLC General Practice PastSince May 1, 2020 Accepting new patients
Family Smiles, LLC General Practice PastSince Jul 1, 2020 Accepting new patients

Locations

1620 Main St NW
Ste D
Los Lunas, NM 87031
Phone (505) 565-0651

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1235752601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4537 E MOLLY LN",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853316682",
            "telephone_number": "602-561-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 24TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012300",
            "telephone_number": "602-326-0616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6232 N 7th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850141852",
            "country_code": "US",
            "telephone_number": "602-246-0385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1620 Main St NW Ste D",
            "address_purpose": "LOCATION",
            "city": "Los Lunas",
            "state": "NM",
            "postal_code": "870314891",
            "country_code": "US",
            "telephone_number": "505-565-0651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2512 Wabash Ave",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478031506",
            "country_code": "US",
            "telephone_number": "812-803-2340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEHBAHANI",
        "first_name": "KAVEH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-20",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110970",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD5292",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D010747",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12014260A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.