NPIMap

Organization Active NPI

Babak Ganjavian DDS PC

  • General Practice Dentistry
  • Frederick, MD
National Provider Identifier
1659664845
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14228 Issued in MD
Legal business name
BABAK GANJAVIAN DDS PC
Practice address
100 Tuscanny Dr Unit C
Frederick, MD 21702-5958
Phone
(301) 695-1234
NPI assigned
May 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
Dr. Babak Ganjavian, DDSNPI 1801033329
Title
President
Phone
(301) 695-1234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14228 MD Primary

Addresses

Primary practice location

100 Tuscanny Dr Unit C
Frederick, MD 21702-5958

Mailing address

100 Tuscanny Dr Unit C
Frederick, MD 21702-5958
Phone (301) 695-1234

Other names 1

  • Frederick Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

100 Tuscanny Dr
Unit C
Frederick, MD 21702
Phone (301) 695-1234

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1659664845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TUSCANNY DR UNIT C",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217025958",
            "telephone_number": "301-695-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TUSCANNY DR UNIT C",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217025958",
            "telephone_number": "301-695-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABAK GANJAVIAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "GANJAVIAN",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-695-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frederick Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.