BABAK KHAYATAN DDS INC. (NPI# 1639648413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639648413 |
| Entity Type | Organization |
| Organization Name | BABAK KHAYATAN DDS INC. |
| Practice Address |
2734 Delta Fair Blvd Antioch CA 94509-4100 |
| Practice Telephone | 9257781234 |
| Mailing Telephone | 9257781234 |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2018-11-21 |
| Authorized Official Name | DR. BABAK KHAYATAN (PRESIDENT) |
| Authorized Official Telephone | 9257781234 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
2734 DELTA FAIR BLVD |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94509-4100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962541078 | Babak Khayatan | Dentist | 2734 Delta Fair Blvd, Antioch, CA 94509-4100 | 2007-02-05 |
| 1285765362 | Kristi Wagner | Dentist | 2734 Delta Fair Blvd, Antioch, CA 94509-4100 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733243 | A Step Above, LLC | Clinic/Center | 3648 Delta Fair Blvd., Antioch, CA 94509 | 2020-02-25 |
| 1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
| 1962040865 | Melay Goitom | Behavioral Analyst | 3104 Delta Fair Boulevard, Antioch, CA 94509 | 2019-12-11 |
| 1518525062 | James Joseph Cook | Counselor | 624 W. 14th Street B, Antioch, CA 94509 | 2019-05-30 |
| 1922576438 | Wazma Matiee | Behavioral Analyst | 2009 Asilomar Dr., Antioch, CA 94509 | 2018-11-02 |
| 1346722360 | Dharma Rachelle Yancy | Behavioral Analyst | 3401 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1912489931 | Cristian Cruz | Behavioral Analyst | 3100-3104 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1780174052 | Melissa Sue Rossi | Counselor | 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 | 2018-05-13 |
| 1033638085 | Elizabeth Marie Artola | Counselor | 1915 D Street, Antioch, CA 94509 | 2017-09-11 |
| 1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
| Find all providers in zip 94509 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538729827 | Richland Creek Dental Group, Pllc | Dentist | 3538 Murfreesboro Pike Ste 305, Antioch, TN 37013-2580 | 2019-06-18 |
| 1043730997 | Tremayne L Richard | Dentist | 712 Saxony Lake Dr, Antioch, TN 37013-6701 | 2017-06-21 |
| 1063876274 | Nina Moslehi | Dentist | 3107 Lone Tree Way Ste A, Antioch, CA 94509-4959 | 2016-04-13 |
| 1811352545 | Rodrigo Martell | Dentist | 710 W 10th Street, Antioch, CA 94509-1561 | 2015-12-23 |
| 1487928214 | Wilma Pelaez Valerio | Dentist | 4847 Lone Tree Way, Antioch, CA 94531-8611 | 2012-02-24 |
| 1023380870 | Ana Cristina Lorenzana | Dentist | 716 W 10th St, Antioch, CA 94509-1561 | 2012-02-08 |
| 1447566369 | Mark F. Simkins | Dentist | 2730 Lone Tree Way Ste 2, Antioch, CA 94509-4964 | 2010-08-30 |
| 1942525357 | Concord Mills Family Dentistry Pllc | Dentist | 6438 Nolensville Pike, Antioch, TN 37013 | 2010-03-30 |
| 1235469628 | Valora C Legaspi | Dentist | 3379 Deer Valley Rd, Antioch, CA 94531-6664 | 2010-01-06 |
| 1578892915 | Heartland Dental Care of Tennessee, PC | Dentist | 1315 Bell Road, Antioch, TN 37013-3077 | 2009-12-14 |
| Find all providers in ANTIOCH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.