Individual provider Active NPI

Zhafar A Badalov, DMD

  • Dentist
  • Bensalem, PA
National Provider Identifier
1952821415
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS041406 Issued in PA
Practice address
411 Brister Rd
Bensalem, PA 19020-1649
Phone
(215) 520-0797
NPI assigned
Jun 26, 2017
Last updated
Apr 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170808000062 PA Order and Referring Only - DentistPractitioner - Dentist 3274804307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hi Tech Dental Group KVZ LLC Current Accepting new patients
Sleep Impressions, LLC Dentist Past Accepting new patients
Pro Dental Group PC Dentist PastSince Apr 30, 2023 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.

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

Verify at the official NPI Registry.