Babak Ganjavian, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

14228 Issued in MD

Practice address

100 Tuscanny Dr Unit C
Frederick, MD 21702-5958

Phone

(301) 695-1234

NPI assigned

Jan 21, 2009

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

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

Medicare enrollment (NPD)

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.

• Babak Ganjavian DDS PC

  • General Practice Dentistry
  • Frederick, MD
  • NPI 1659664845
  NPD (past) Authorized official
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305763200000",
    "number": "1801033329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6204 YORKSHIRE TER",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142244",
            "telephone_number": "301-526-9956"
        },
        {
            "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": {
        "last_name": "GANJAVIAN",
        "first_name": "BABAK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-21",
        "last_updated": "2011-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "14228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gambrill'S Physical Therapy
• Angeline Chun Gan
• Geraldine Gan, DNP
• Irving Gan, O.D.
• Joytiben Ganesh, P.A.
• Colleen Gannon
• Jennifer S Gannon, PA
• Charlene Marie Gantt, CRNP PMH
• Jie Gao, M.D.
• Jenny Garcia Castaneda, MD, MPH

• All providers in Frederick, MD
• Dentist in Maryland

• 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.
• 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.