Nima Behazin, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN03452 Issued in RI

Practice address

4959 Tower Hill Rd
Wakefield, RI 02879-2283

Phone

(401) 783-1975

NPI assigned

Jun 1, 2016

Last updated

Nov 24, 2019By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Interoperability endpoints

• Direct secure messaging: nbehazin337510@direct.ynhh.org

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.

• Nima Behazin, DMD LLC

  dba Tower Hill Dental

  • General Practice Dentistry
  • Wakefield, RI
  • NPI 1083250195
  NPD Authorized official
• Latvis Family Dentist LLC

  • General Practice Dentistry
  • Bristol, CT
  • NPI 1497873434
  NPD (past)

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574553600000",
    "number": "1639527690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 TOWER HILL RD",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028792283",
            "telephone_number": "401-783-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 TOWER HILL RD",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028792283",
            "telephone_number": "401-783-1975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "82 Wahington st",
            "address_purpose": "LOCATION",
            "city": "Brisol",
            "state": "CT",
            "postal_code": "06010",
            "country_code": "US",
            "telephone_number": "860-589-5202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEHAZIN",
        "first_name": "NIMA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-01",
        "last_updated": "2019-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN03452",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "11814",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Baxter, NP
• Larry Thomas Baxter
• Beatriz M. Demoranville, MD and Associates, Inc. (Beatriz M. DeMoranville, MD)
• Bethany Beauregard, LCSW
• Tia Beckman, OTR/L
• Belanger Chiropractic LLC (Center For Health)
• Peter Joseph Bellafiore, MD
• Robert David Benavides, PHARM D
• Lee C Bennett III, MSPT
• Linda J Benvenuti

• General Practice Dentistry in Wakefield, RI
• Providers in Wakefield, RI by specialty
• General Practice Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2019; 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.