Individual provider Active NPI

Babak Robert Meer, DMD

  • General Practice Dentistry
  • Herndon, VA
National Provider Identifier
1427011287
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401412049 Issued in VA
Practice address
131 Elden St Ste 100
Herndon, VA 20170-4835
Phone
(703) 657-0000
Fax
(703) 657-0958
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X MD 13086 MD
General Practice Dentistry 1223G0001X 0401412049 VA Primary

Addresses

Primary practice location

131 Elden St Ste 100
Herndon, VA 20170-4835

Mailing address

131 Elden St Ste 100
Herndon, VA 20170-4835
Phone (703) 657-0000

Other identifiers 5

IdentifierTypeStateIssuer
054635OtherJHHC
521860379OtherMETLIFE
9179244OtherDORAL
288504201MedicaidMD
DG26TH 521860379-110OtherCAREFIRST

Other names 1

  • Babak Mirhakkals Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD 13086MDMDGeneral Practice Dentistry
0401412049VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Herndon Family Dental PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1427011287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 ELDEN ST STE 100",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704835",
            "telephone_number": "703-657-0000",
            "fax_number": "703-657-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 ELDEN ST STE 100",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704835",
            "telephone_number": "703-657-0000",
            "fax_number": "703-657-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEER",
        "first_name": "BABAK",
        "middle_name": "ROBERT",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "MD 13086",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JHHC",
            "identifier": "054635",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METLIFE",
            "identifier": "521860379",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "9179244",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288504201",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "DG26TH 521860379-110",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BABAK",
            "last_name": "MIRHAKKALS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Herndon, VA

Sources for this page

Verify at the official NPI Registry.