Individual provider Active NPI

Babak Joobbani, DDS

  • General Practice Dentistry
  • Columbia, MD
National Provider Identifier
1720216716
Registry record updated Oct 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14519 Issued in MD
Practice address
6700 Alexander Bell Dr
Suite 120
Columbia, MD 21046-2122
Phone
(410) 872-3999
Fax
(410) 872-1133
NPI assigned
Jun 29, 2009
Last updated
Oct 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14519 MD Primary

Addresses

Primary practice location

6700 Alexander Bell Dr
Suite 120
Columbia, MD 21046-2122

Mailing address

6700 Alexander Bell Dr
Suite 120
Columbia, MD 21046-2122
Phone (410) 872-3999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20160429000808 MD Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0941509772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joobbani Dental Designs LLC General Practice PastSince Jul 7, 2013 Accepting new patients

Organizations & group practices 1

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": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445731200000",
    "number": "1720216716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 ALEXANDER BELL DR",
            "address_2": "SUITE 120",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462122",
            "telephone_number": "410-872-3999",
            "fax_number": "410-872-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 ALEXANDER BELL DR",
            "address_2": "SUITE 120",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462122",
            "telephone_number": "410-872-3999",
            "fax_number": "410-872-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOOBBANI",
        "first_name": "BABAK",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-29",
        "last_updated": "2015-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.