Active NPI
Mike Pirbazari, DDS, PHD. Inc
- Endodontics
- Santa Monica, CA
National Provider Identifier
1063844942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 35447
- Legal business name
- MIKE PIRBAZARI, DDS, PHD. INC
- Practice address
- 1807 Wilshire Blvd.,
Suite a
Santa Monica, CA 90403 - Phone
- (310) 264-1711
- Fax
- (310) 453-6486
- NPI assigned
- Aug 2, 2013
- Last updated
- Aug 2, 2013
- Organization subpart
- Yes
- Parent organization
- MIKE PIRBAZARI , DDS, PHD, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mike Pirbazari, D.D.S, PH.D
- Title
- Emdodontist, Owner
- Phone
- (310) 264-1711
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 35447 | CA | Primary |
Addresses
Primary practice location
1807 Wilshire Blvd.,
Suite a
Santa Monica, CA 90403
Mailing address
269 S. Beverly Dr.,
Suite 436
Beverly Hills, CA 90212
Phone (310) 339-3836
National Provider Directory
National Provider Directory- Tax ID family
- Mike Pirbazari DDS PHD Inc
- Part of
- Mike Pirbazari DDS PHD Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Endodontics
- Long Beach, CA
- NPI 1265866958
-
- Endodontics
- West Hills, CA
- NPI 1225463037
Locations
269 S Beverly Dr
Beverly Hills, CA 90212
Phone (424) 254-9622
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Endodontics
- Long Beach, CA
- NPI 1265866958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375401600000",
"number": "1063844942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 S. BEVERLY DR.,",
"address_2": "SUITE 436",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "90212",
"telephone_number": "310-339-3836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1807 WILSHIRE BLVD.,",
"address_2": "SUITE A",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "90403",
"telephone_number": "310-264-1711",
"fax_number": "310-453-6486"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIKE PIRBAZARI, DDS, PHD. INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MIKE PIRBAZARI , DDS, PHD, INC.",
"enumeration_date": "2013-08-02",
"last_updated": "2013-08-02",
"status": "A",
"authorized_official_last_name": "PIRBAZARI",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "EMDODONTIST, OWNER",
"authorized_official_telephone_number": "310-264-1711",
"authorized_official_credential": "D.D.S, PH.D"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "35447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.