NPIMap

Individual provider Active NPI

Paul Babakhanof, DDS

  • Dentist
  • Van Nuys, CA
National Provider Identifier
1649430539
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54585 Issued in CA
Practice address
6819 Sepulveda Blvd Ste 104
Van Nuys, CA 91405-4440
Phone
(818) 781-7020
Fax
(818) 781-7022
NPI assigned
Jun 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 54585 CA Primary
General Practice Dentistry 1223G0001X 54585 CA

Addresses

Primary practice location

6819 Sepulveda Blvd Ste 104
Van Nuys, CA 91405-4440

Mailing address

6819 Sepulveda Blvd Ste 104
Van Nuys, CA 91405-4440
Phone (818) 781-7020

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Dental Inc. Past Accepting new patients
Dina Chanturiya DDS Inc Dentist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1649430539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6819 SEPULVEDA BLVD STE 104",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054440",
            "telephone_number": "818-781-7020",
            "fax_number": "818-781-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6819 SEPULVEDA BLVD STE 104",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054440",
            "telephone_number": "818-781-7020",
            "fax_number": "818-781-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABAKHANOF",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-13",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54585",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54585",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.