Individual provider Active NPI

Babak Hakimizadeh, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Danbury, CT
National Provider Identifier
1841447778
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
063059 Issued in NY
Practice address
27 Hospital Ave Ste 306
Danbury, CT 06810-5961
Phone
(203) 797-0008
NPI assigned
Aug 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 010701 CT
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 063059 NY Primary

Addresses

Primary practice location

27 Hospital Ave Ste 306
Danbury, CT 06810-5961

Mailing address

323 Main St
West Haven, CT 06516-4424
Phone (203) 937-7181

Other practice location 1

667 Stoneleigh Ave Ste 301
Carmel, NY 10512-2455
Phone (845) 278-2101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160912000156 CT Practitioner - Oral Surgery 0042506404 Reassigns benefits to 1 organization
I20260330001186 NY Practitioner - Oral Surgery 0042506404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
New York Medical College, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Northeast Implant and Oral Surgery, PCGroup PAC ID 7012013790, 3 clinicians

Practice addresses (Care Compare)

27 Hospital Ave
Suite 306
Danbury, CT 06810-5961
Phone (203) 797-0008

43 Lagrange Ave
Poughkeepsie, NY 12603-2410
Phone (203) 628-4450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010701CTMDSocial Worker
10701CTMDSocial Worker
063059NYMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Implant & Oral Surgery, PC CurrentSince Dec 30, 2025 Accepting new patients

Locations

27 Hospital Ave
Ste 306
Danbury, CT 06810
Phone (203) 797-0008

27 Hospital Ave
Ste 203
Danbury, CT 06810
Phone (203) 797-0008

667 Stoneleigh Ave
Ste 301
Carmel, NY 10512
Phone (845) 278-2101

666 Lexington Ave
Ste 203
Mount Kisco, NY 10549
Phone (203) 797-0008

43 Lagrange Ave
Poughkeepsie, NY 12603
Phone (845) 452-2900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1841447778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 MAIN ST",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065164424",
            "telephone_number": "203-937-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 HOSPITAL AVE STE 306",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105961",
            "telephone_number": "203-797-0008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "667 Stoneleigh Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "NY",
            "postal_code": "105122455",
            "country_code": "US",
            "telephone_number": "845-278-2101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAKIMIZADEH",
        "first_name": "BABAK",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-21",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "010701",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "063059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.