NPI Code Details Logo

NPI 1235752601

NPI 1235752601 : KAVEH BEHBAHANI DMD : BAKERSFIELD, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1235752601
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    KAVEH BEHBAHANI DMD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/20/2020
-----------------------------------------------------
    Last Update Date     |    06/16/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1201 24TH ST 
-----------------------------------------------------
    City                 |    BAKERSFIELD
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    93301-2300
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    602-326-0616
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4537 E MOLLY LN 
-----------------------------------------------------
    City                 |    CAVE CREEK
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85331-6682
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    602-561-6202
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1223G0001X
-----------------------------------------------------
    Taxonomy Name        |    General Practice Dentistry
-----------------------------------------------------
    License Number       |    110970
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    122300000X
-----------------------------------------------------
    Taxonomy Name        |    Dentist
-----------------------------------------------------
    License Number       |    DD5292
-----------------------------------------------------
    License Number State |    NM
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    122300000X
-----------------------------------------------------
    Taxonomy Name        |    Dentist
-----------------------------------------------------
    License Number       |    D010747
-----------------------------------------------------
    License Number State |    AZ
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    1223G0001X
-----------------------------------------------------
    Taxonomy Name        |    General Practice Dentistry
-----------------------------------------------------
    License Number       |    12014260A
-----------------------------------------------------
    License Number State |    IN
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.