Active NPI
Babak Shabestari, D.D.S.
- General Practice Dentistry
- Modesto, CA
National Provider Identifier
1588938286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 61167
- Practice address
- 2000 Standiford Ave
Suite a
Modesto, CA 95350 - Phone
- (209) 574-9600
- Fax
- (209) 574-9630
- NPI assigned
- Feb 28, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 61167 | CA | Primary |
Addresses
Primary practice location
2000 Standiford Ave
Suite a
Modesto, CA 95350
Mailing address
2000 Standiford Ave
Suite a
Modesto, CA 95350
Phone (209) 574-9600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61167 | CA | MD | General Practice Dentistry |
| 61107 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linda Le DDS a Professional Dental | General Practice | Past | Accepting new patients |
Interoperability endpoints
- babak.shabestari.p1@direct.toiyabe.nextgenshare.com
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.
-
dba Standiford Family Dental Group
- General Practice Dentistry
- Modesto, CA
- NPI 1790854131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401235200000",
"number": "1588938286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 STANDIFORD AVE",
"address_2": "SUITE A",
"city": "MODESTO",
"state": "CA",
"postal_code": "95350",
"telephone_number": "209-574-9600",
"fax_number": "209-574-9630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 STANDIFORD AVE",
"address_2": "SUITE A",
"city": "MODESTO",
"state": "CA",
"postal_code": "95350",
"telephone_number": "209-574-9600",
"fax_number": "209-574-9630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHABESTARI",
"first_name": "BABAK",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-28",
"last_updated": "2014-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "61167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.