Organization Active NPI

Babak Abrishami Dental Corp

  • Dental Clinic/Center
  • Burbank, CA
National Provider Identifier
1801597018
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BABAK ABRISHAMI DENTAL CORP
Practice address
3808 W Riverside Dr Ste 508
Burbank, CA 91505-5301
Phone
(747) 245-3527
NPI assigned
Mar 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Dr. Babak Abrishami, DDSNPI 1497892699
Title
Dentist
Phone
(310) 435-5537

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3808 W Riverside Dr Ste 508
Burbank, CA 91505-5301

Mailing address

11743 Kiowa Ave Apt 202
Los Angeles, CA 90049-6135
Phone (310) 435-5537

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230809003682 CA Part B Supplier - Clinic/Group Practice 3870955727 Receives reassigned benefits from 1 practitioner
Practice locations: Burbank, CA

National Provider Directory

National Provider Directory

Locations

3808 W Riverside Dr
Ste 508
Burbank, CA 91505
Phone (747) 245-3527

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": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1801597018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11743 KIOWA AVE APT 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496135",
            "telephone_number": "310-435-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 W RIVERSIDE DR STE 508",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915055301",
            "telephone_number": "747-245-3527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABAK ABRISHAMI DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "ABRISHAMI",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "310-435-5537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.