Organization Active NPI

Mike Pirbazari, DDS, PHD. Inc

  • Endodontics
  • Santa Monica, CA
National Provider Identifier
1063844942
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
35447 Issued in CA
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, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
MIKE PIRBAZARI , DDS, PHD, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 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 Inc3 organizations share this tax ID, including this one
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.

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.

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.

Verify at the official NPI Registry.