Babak Robert Etemad, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN17996 Issued in FL

Practice address

3472 Forest Hill Blvd # 2
West Palm Beach, FL 33406-5864

Phone

(954) 608-3818

NPI assigned

Jun 18, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1336300805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3472 FOREST HILL BLVD STE 2A",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065864",
            "telephone_number": "561-429-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3472 FOREST HILL BLVD # 2",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065864",
            "telephone_number": "954-608-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETEMAD",
        "first_name": "BABAK",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN17996",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "590-28",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Lucia Estrada Florez
• Lesly Estriplet, NP/PA
• Etairos Care at Home Inc (Comprehensive Home Care of Palm Beach)
• Etairos Health Inc (Regal Home Services)
• Etcare Health Services LLC
• Jacques Daniel Etheart, D.C.
• Loretta Etienne, LCSW
• Maitey Etienne
• Marc Eddyne Etienne
• Nadege Etienne

• Dentist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.