Organization Active NPI

Dental Practice of Babak Shahrokh DMD Inc

  • Dental Clinic/Center
  • San Diego, CA
National Provider Identifier
1407540263
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTAL PRACTICE OF BABAK SHAHROKH DMD INC
Practice address
7340 Miramar Rd Ste 204
San Diego, CA 92126-4213
Phone
(858) 397-2201
Fax
(858) 397-2203
NPI assigned
Jun 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Babak Shahrokh, DMDNPI 1922312529
Title
President
Phone
(760) 471-9560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

7340 Miramar Rd Ste 204
San Diego, CA 92126-4213

Mailing address

7340 Miramar Rd Ste 204
San Diego, CA 92126-4213
Phone (858) 397-2201

Other names 1

  • Miramar Dental Studio Doing business as

National Provider Directory

National Provider Directory

Locations

7340 Miramar Rd
Ste 204
San Diego, CA 92126
Phone (858) 397-2201

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1407540263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7340 MIRAMAR RD STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264213",
            "telephone_number": "858-397-2201",
            "fax_number": "858-397-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 MIRAMAR RD STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264213",
            "telephone_number": "858-397-2201",
            "fax_number": "858-397-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PRACTICE OF BABAK SHAHROKH DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "SHAHROKH",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-471-9560",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miramar Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.