Babak Goravanchi DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21389 Issued in TX

Legal business name

BABAK GORAVANCHI DDS PA

Practice address

1013 Dairy Ashford Rd
Houston, TX 77079-4602

Phone

(713) 446-8547

NPI assigned

Feb 24, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Babak Goravanchi, DDS

Title

Owner

Phone

(713) 446-8547

Specialties & licenses 1

Addresses

Other names 1

• Premier Dental Specialists Doing business as

Tax ID family

Babak Goravanchi DDS PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Stafford Family Dentist

  • Dental Clinic/Center
  • Stafford, TX
  • NPI 1609194604
  NPD tax ID

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1861852584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 DAIRY ASHFORD RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770794602",
            "telephone_number": "713-446-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 DAIRY ASHFORD RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770794602",
            "telephone_number": "713-446-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABAK GORAVANCHI DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "GORAVANCHI",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-446-8547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dental Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Baba Sain Design LLC
• Taketo Baba, M.D.
• Kara N Babaian, M.D.
• Richard J. Babaian, M.D.
• Azeesat Babajide, M.D., MBA
• Babak Rejaie MD PA
• Rodrick Babakhanlou, MD MSC
• Deborah Babalola
• Janet Olaide Babalola, CERTIFIED PHLEBOTOMY
• Solomon Oyewale Babalola, MD

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.