Maryet Nikkie Babrood, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS102559 Issued in CA

Practice address

12520 Magnolia Blvd Ste 205
Valley Village, CA 91607-2346

Phone

(818) 766-7776

Fax

(818) 760-3414

NPI assigned

Jul 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

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.

• Babrood Dental Corporation

  dba Rite Dentist

  • General Practice Dentistry
  • Valley Village, CA
  • NPI 1063060895
  NPD Authorized official

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1659858082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12955 RIVERSIDE DR APT 310",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12520 MAGNOLIA BLVD STE 205",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072346",
            "telephone_number": "818-766-7776",
            "fax_number": "818-760-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABROOD",
        "first_name": "MARYET",
        "middle_name": "NIKKIE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS102559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DDS",
            "identifier": "102559",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sela S Azmon Fishbein
• Babaian D.M.D. Inc
• Saro Babaian
• Neil Babins, MFTI
• Babrood Dental Corporation (Rite Dentist)
• Back in Action Chiropractic
• Back in Action Chiropractic-Jlee, Inc
• Grigor Greg Balasanyan, PT, DPT
• Arusyak Balikyan, DR IN PHARMACY
• Barak Chiropractic Professional Corporation

• General Practice Dentistry in Valley Village, CA
• Providers in Valley Village, CA by specialty
• General Practice Dentistry in California

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