Leonard Bafaloukos, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1523 Issued in AZ

Practice address

3902 W Camelback Rd
Phoenix, AZ 85019-5824

Phone

(602) 841-5473

Fax

(602) 841-8640

NPI assigned

Oct 23, 2006

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr. Leonard Bafaloukos D.D.S.

  • Dental Clinic/Center
  • Phoenix, AZ
  • NPI 1902000656
  NPD (past) Authorized official

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700969664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 W. CAMELBACK RD.",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850192897",
            "telephone_number": "602-841-5473",
            "fax_number": "602-841-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 W CAMELBACK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850195824",
            "telephone_number": "602-841-5473",
            "fax_number": "602-841-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAFALOUKOS",
        "first_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "1523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "803093",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AZ",
            "identifier": "AZ0493590",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim Harris Baerveldt, MS OTR/L
• Eileen A. Baez Irizarry, M.D.
• Rosalba Baez, PA-C
• Scarlett P Baeza, LPN
• Carol Bafaloukos
• Dominique Renee Bagby, PT, DPT
• Mosaab Bagegni, MD
• Demitria Bagg
• Harmohina Bagga, M.D.
• Ali James Baghai, CRNA

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.