Abrishami Dental Professional Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ABRISHAMI DENTAL PROFESSIONAL CORPORATION

Doing business as

Elite Mobile Dental

Practice address

302 E Carson Ave FL 10
Las Vegas, NV 89101-5905

Phone

(310) 435-5537

NPI assigned

May 31, 2024

Last updated

May 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Babak AbrishamiNPI 1497892699

Title

Owner

Phone

(310) 435-5537

Specialties & licenses 1

Addresses

Other names 1

• Elite Mobile Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Babak Abrishami

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1497892699
  NPD Authorized official

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1346081783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E CARSON AVE FL 10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891015905",
            "telephone_number": "310-435-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E CARSON AVE FL 10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891015905",
            "telephone_number": "310-435-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRISHAMI DENTAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "ABRISHAMI",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-435-5537",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Mobile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Abreu
• Eyob W Abrha
• Marina Abrian
• Abridgegroup, LLC (BridgeCare Group)
• Eleanor M. Abril
• Allen Abraham Abrishami
• Babak Abrishami
• Donna Abrom
• Breaun L Abron
• Anne Marie Abruscato, LCSW

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.