Active NPI
Sina Khanbabakhani, DDS
- Dentist
- Palm Springs, CA
National Provider Identifier
1538727466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 105093
- Practice address
- 555 South Sunrise Way
Palm Springs, CA 92264 - Phone
- (760) 904-5486
- NPI assigned
- Jun 5, 2019
- Last updated
- Aug 7, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 105093 | CA | Primary |
Addresses
Primary practice location
555 South Sunrise Way
Palm Springs, CA 92264
Mailing address
555 South Sunrise Way
Palm Springs, CA 92264
Phone (760) 904-5486
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250808001661 | CA | Order and Referring Only - Dentist | 2769980820 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596758400000",
"number": "1538727466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 SOUTH SUNRISE WAY",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "92264",
"telephone_number": "760-904-5486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 SOUTH SUNRISE WAY",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "92264",
"telephone_number": "760-904-5486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHANBABAKHANI",
"first_name": "SINA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-05",
"last_updated": "2020-08-07",
"certification_date": "2020-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "105093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.