Active NPI
Brian R Babb, D.M.D.
- Endodontics
- Evans, GA
National Provider Identifier
1952314080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN013098
- Practice address
- 805 Oakhurst Dr.
Suite B
Evans, GA 30809 - Phone
- (706) 863-9490
- Fax
- (706) 863-9420
- NPI assigned
- Aug 13, 2006
- Last updated
- Jul 10, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN013098 | GA | Primary |
Addresses
Primary practice location
805 Oakhurst Dr.
Suite B
Evans, GA 30809
Mailing address
805 Oakhurst Dr.
Suite B
Evans, GA 30809
Phone (706) 863-9490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 488375310A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN013098 | GA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247184000000",
"number": "1952314080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 OAKHURST DR.",
"address_2": "SUITE B",
"city": "EVANS",
"state": "GA",
"postal_code": "30809",
"telephone_number": "706-863-9490",
"fax_number": "706-863-9420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 OAKHURST DR.",
"address_2": "SUITE B",
"city": "EVANS",
"state": "GA",
"postal_code": "30809",
"telephone_number": "706-863-9490",
"fax_number": "706-863-9420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BABB",
"first_name": "BRIAN",
"middle_name": "R",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2009-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "GA",
"license": "DN013098",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "488375310A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Evans, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.