Benjamin Paul Chalom Baranes, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D010486 Issued in AZ

Practice address

5225 N 19TH Ave Ste C
Phoenix, AZ 85015-2903

Phone

(602) 433-0313

NPI assigned

Sep 5, 2019

Sex

Male

Sole proprietor

No

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

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.

• A 19TH Avenue Dental Care

  • Dentist
  • Phoenix, AZ
  • NPI 1356501662
  NPD (past)

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1831748532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 E CHAPARRAL RD UNIT 239A",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852507169",
            "telephone_number": "805-452-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 N 19TH AVE STE C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152903",
            "telephone_number": "602-433-0313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1245 E Southern Ave",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852045137",
            "country_code": "US",
            "telephone_number": "623-869-1091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7611 W Thomas Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850335439",
            "country_code": "US",
            "telephone_number": "623-869-1091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1602 E Roosevelt St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850063678",
            "country_code": "US",
            "telephone_number": "623-869-1091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6702 W Camelback Rd",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853036300",
            "country_code": "US",
            "telephone_number": "623-869-1091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARANES",
        "first_name": "BENJAMIN",
        "middle_name": "PAUL CHALOM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D010486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D010486",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chimene Baraka
• Matilda Olajumoke Baraka, M.D., M.P.H.
• Leslie Ann Barakat, MD
• Magdaleen Barakat
• Carole Barake, MD
• Igor Johan Barani, MD
• Paul V Baranko, MD
• David Michael Baratz, MD
• Zaria Baray Carter
• Lory Ellen Baraz, M.D.

• 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 Sep 6, 2019; 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.