Individual provider Active NPI

Babak Navidi

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1245458819
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4289 Issued in NV
Practice address
3663 E Sunset Rd Ste 301
Las Vegas, NV 89120-3246
Phone
(702) 450-5999
Fax
(702) 450-9501
NPI assigned
Apr 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4289 NV Primary

Addresses

Primary practice location

3663 E Sunset Rd Ste 301
Las Vegas, NV 89120-3246

Mailing address

3663 E Sunset Rd Ste 301
Las Vegas, NV 89120-3246
Phone (702) 450-5999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180207002351 NV Order and Referring Only - DentistPractitioner - Dentist 8527328780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4289NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kim-Vy C Pham DMD PLLC PastSince Jun 17, 2024 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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245458819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 E SUNSET RD STE 301",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203246",
            "telephone_number": "702-450-5999",
            "fax_number": "702-450-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 E SUNSET RD STE 301",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203246",
            "telephone_number": "702-450-5999",
            "fax_number": "702-450-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVIDI",
        "first_name": "BABAK",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.