Active NPI
Zhafar A Badalov, DMD
- Dentist
- Bensalem, PA
National Provider Identifier
1952821415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS041406
- Practice address
- 411 Brister Rd
Bensalem, PA 19020-1649 - Phone
- (215) 520-0797
- NPI assigned
- Jun 26, 2017
- Last updated
- Apr 27, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS041406 | PA | Primary |
Addresses
Primary practice location
411 Brister Rd
Bensalem, PA 19020-1649
Mailing address
350 N Clark St Ste 600, C/O Kos Services, Attn: HR,
Chicago, IL 60654-4782
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170808000062 | PA | Order and Referring Only - Dentist | 3274804307 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hi Tech Dental Group KVZ LLC | Current | Accepting new patients | |
| Sleep Impressions, LLC | Dentist | Past | Accepting new patients |
| Pro Dental Group PC | Dentist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Levittown, PA
- NPI 1598228637
-
- Dentist
- Levittown, PA
- NPI 1851089841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682553600000",
"number": "1952821415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 N CLARK ST STE 600, C/O KOS SERVICES, ATTN: HR,",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606544782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 BRISTER RD",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190201649",
"telephone_number": "215-520-0797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADALOV",
"first_name": "ZHAFAR",
"middle_name": "A",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-26",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS041406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bensalem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.