Babak Abrishami

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43515 Issued in CA

Practice address

302 E Carson Ave FL 10
Las Vegas, NV 89101-5905

Phone

(310) 435-5537

NPI assigned

Jan 30, 2007

Last updated

May 31, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Babak Abrishami Dental Corp

  • Dental Clinic/Center
  • Burbank, CA
  • NPI 1801597018
  Medicare reassignment Authorized official
• Abrishami Dental Professional Corporation

  dba Elite Mobile Dental

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1346081783
  NPD Authorized official
• Khoshrozeh Dental Corporation

  dba California Family Dental Group

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1003953126
  NPD (past)
• Zinman DDS, Inc.

  • General Practice Dentistry
  • Pacoima, CA
  • NPI 1396239646
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1497892699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11743 KIOWA AVE APT 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496135",
            "telephone_number": "310-435-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E CARSON AVE FL 10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891015905",
            "telephone_number": "310-435-5537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3808 W Riverside Dr Ste 508",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915055301",
            "country_code": "US",
            "telephone_number": "747-245-3527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABRISHAMI",
        "first_name": "BABAK",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Abrian
• Abridgegroup, LLC (BridgeCare Group)
• Eleanor M. Abril
• Abrishami Dental Professional Corporation (Elite Mobile Dental)
• Allen Abraham Abrishami
• Donna Abrom
• Breaun L Abron
• Anne Marie Abruscato, LCSW
• Emily Abruzzo
• Abs Psychiatry LLC (A Better Solution Psychiatry)

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.