Babak Javidi, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

106067 Issued in CA

Practice address

12125 Alta Carmel CT Ste 310
San Diego, CA 92128-3892

Phone

(619) 800-4948

Fax

(619) 800-4948

NPI assigned

Oct 2, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Babak Javidi DMD Inc

  • Pediatric Dentistry
  • San Diego, CA
  • NPI 1528789161
  NPD Authorized official
• DB Practice Management, Inc

  dba Dental Bright Advanced Family Dentistry

  • General Practice Dentistry
  • Lawrence, MA
  • NPI 1831416767
  NPD (past)
• Jose L Rivera-Zayas DMD PLLC

  • Prosthodontics
  • Boston, MA
  • NPI 1679081244
  NPD (past)

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1407366727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12125 ALTA CARMEL CT STE 310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283892",
            "telephone_number": "619-800-4948",
            "fax_number": "619-800-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12125 ALTA CARMEL CT STE 310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283892",
            "telephone_number": "619-800-4948",
            "fax_number": "619-800-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVIDI",
        "first_name": "BABAK",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-02",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "106067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinaan Faridun Javed, DO
• Javidan Dentistry
• Mitra Javidan Mazdyasni, DMD
• Patrick Javidan, D.C.
• Susan J. Javidan, P.T.
• Olaff Javier Meza
• Juan Francisco Javier-Desloges, M.D.
• Ailiz Javier
• Jennifer Michele Javors, MD
• Dylan Quinn Jawahir, L.AC., L.M.T.

• Pediatric Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.