Ilya Babiner, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS031068L Issued in PA

Practice address

10107 Verree Rd # a
Philadelphia, PA 19116-3613

Phone

(215) 698-3710

Fax

(215) 698-2721

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• General Dentistry Number One PC

  • General Practice Dentistry
  • Feasterville Trevose, PA
  • NPI 1912339607
  NPD (past) Authorized official

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447327952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 BRIDGEVIEW RD",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190531930",
            "telephone_number": "215-702-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10107 VERREE RD # A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163613",
            "telephone_number": "215-698-3710",
            "fax_number": "215-698-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABINER",
        "first_name": "ILYA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS031068L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017885860001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Babb
• Kari Freeman Baber, PHD
• Jennifer M Babia-Espiritu, CRNA
• Riley Ann Babiarz, OTR/L
• Ismat Babiker, MD
• Ingrid Mariel Babiner, DMD
• Maxim Babiner, DMD
• Loren Mildred Frances Babirak, MD
• Marissa Babnew
• Reeba Baboo

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.