| NPI | 1053756205 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2013-05-01 |
| Last Updated | 2019-06-29 |
| Mailing Address | 308 E 38th St Apt 6d New York, NY 10016-9821 United States Phone: (631) 880-2208 📍 View Map |
| Primary Practice Address | 25 Tudor City Pl, Apt 2122 New York, NY 10017-6819 United States Phone: (631) 880-2208 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 122300000X – Dentist | NY | 057492-1 |
| No | 390200000X – Student in an Organized Health Care Education/Training Program | NY | — |
| Yes | 1223E0200X – Dentist, Endodontics | NY | 057492-1 |
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About NPI 1053756205
Bobak Bakhshoudeh is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1053756205. The primary specialty listed is Dentist, Endodontics. The provider is located in New York, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2013-05-01. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053756205?
NPI 1053756205 belongs to Bobak Bakhshoudeh, a Dentist, Endodontics in New York, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053756205 active?
The current status of NPI 1053756205 in the NPPES registry is Active. The record was last updated on 2019-06-29.
What specialty is NPI 1053756205?
NPI 1053756205 is classified under the taxonomy Dentist, Endodontics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053756205?
You can verify NPI 1053756205 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053756205?
The primary practice address on file for NPI 1053756205 is 25 Tudor City Pl, New York, NY 10017-6819. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053756205 issued?
NPI 1053756205 was first issued (enumerated) on 2013-05-01. The NPPES record was last updated on 2019-06-29.
Practice Location Map
Bobak Bakhshoudeh is located at 25 Tudor City Pl, New York, NY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Bobak Bakhshoudeh. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1053756205. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dentist | 057492-1 | NY |
| Dentist, Endodontics | 057492-1 | NY |