Healthy Dental Practice PC

Primary specialty

DentistTaxonomy code 122300000X

License

057324 Issued in NY

Legal business name

HEALTHY DENTAL PRACTICE PC

Practice address

16814 77TH Rd
Fresh Meadows, NY 11366-1335

Phone

(917) 498-5545

NPI assigned

Sep 25, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Artur Bababekov, DDSNPI 1073934477

Title

Dentist

Phone

(917) 498-5545

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Artur Bababekov, DDS

  • Dentist
  • Fresh Meadows, NY
  • NPI 1073934477
  NPD (past) Authorized official

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443139200000",
    "number": "1487024089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16814 77TH RD",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661335",
            "telephone_number": "917-498-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16814 77TH RD",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661335",
            "telephone_number": "917-498-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY DENTAL PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-25",
        "last_updated": "2015-09-25",
        "status": "A",
        "authorized_official_last_name": "BABABEKOV",
        "authorized_official_first_name": "ARTUR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "917-498-5545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "057324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04055730",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; 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.