Behzad Baghai, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

23664 Issued in TX

Practice address

3204 N Main St # 121
Fort Worth, TX 76106-5900

Phone

(817) 624-6677

Fax

(817) 624-6678

NPI assigned

Feb 18, 2006

Last updated

Oct 26, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1140220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1639144140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 N MAIN ST # 121",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761065900",
            "telephone_number": "817-624-6677",
            "fax_number": "817-624-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 N MAIN ST # 121",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761065900",
            "telephone_number": "817-624-6677",
            "fax_number": "817-624-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGHAI",
        "first_name": "BEHZAD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-18",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401411093",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "23664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oghenetega Abraham Badidi, MD
• Andrew Badillo, PA-C
• Morolake Badom
• Donald Baer, LPC, LMFT, LPA
• Alexandru C. Bageac, M.D.
• Krystal Monique Bagley, FNP-C
• Hossein Bagshahi, M.D.
• Jennifer Renee Bagwell Smith, CRNA
• Hallie Bagwell, LPC ASSOCIATE
• Kelsey Bagwell, PT, DPT

• Pediatric Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.