NPIMap

Organization Active NPI

Babak Pahlavan DMD Inc

  • Dentist
  • Sacramento, CA
National Provider Identifier
1265683825
Registry record updated Oct 1, 2008
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53558 Issued in CA
Legal business name
BABAK PAHLAVAN DMD INC
Practice address
9655 Folsom Blvd
Sacramento, CA 95827-1202
Phone
(916) 368-7800
Fax
(916) 368-7890
NPI assigned
Oct 1, 2008
Last updated
Oct 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Authorized official

Name
Mr. Babak Pahlavan, DMD
Title
Dentist
Phone
(916) 368-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 53558 CA Primary

Addresses

Primary practice location

9655 Folsom Blvd
Sacramento, CA 95827-1202

Mailing address

9655 Folsom Blvd
Sacramento, CA 95827-1202
Phone (916) 368-7800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1265683825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9655 FOLSOM BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958271202",
            "telephone_number": "916-368-7800",
            "fax_number": "916-368-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9655 FOLSOM BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958271202",
            "telephone_number": "916-368-7800",
            "fax_number": "916-368-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABAK PAHLAVAN DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "PAHLAVAN",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "916-368-7800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.