Babak Shahrokh, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

64145 Issued in CA

Practice address

1257 Armorlite Dr Apt 308
San Marcos, CA 92069-1375

Phone

(760) 471-9560

Fax

(303) 343-3139

NPI assigned

Aug 6, 2010

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

Enrolled in CA

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

Locations

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 Shahrokh DMD Inc

  dba san marcos dental studio

  • General Practice Dentistry
  • San Marcos, CA
  • NPI 1194381251
  NPD Authorized official
• Dental Practice of Babak Shahrokh DMD Inc

  dba Miramar Dental Studio

  • Dental Clinic/Center
  • San Diego, CA
  • NPI 1407540263
  NPD Authorized official

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1922312529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14251 E 6TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118706",
            "telephone_number": "303-343-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 ARMORLITE DR APT 308",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920691375",
            "telephone_number": "760-471-9560",
            "fax_number": "303-343-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHROKH",
        "first_name": "BABAK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-06",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60906774",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anuja Shah
• Nirav Hasmukh Shah, D.D.S.
• Shishir Navinchandra Shah, D.D.S
• Rima Chehade Shahhal, D.D.S.
• Sami Shahhal, D.D.S.
• Mohammed Shalabi
• Vincent Stephen Shallow, MD
• Shanahan & Associates, Inc. (Windward Home Health)
• Shari Jones Speech Therapy Inc (Nest Pediatric Therapy)
• Vishakha Modi Sharma, M.D.

• General Practice Dentistry in San Marcos, CA
• Providers in San Marcos, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.