Pedram Eisapooran, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

106013 Issued in CA

Practice address

55 E Julian St
San Jose, CA 95112-4007

Phone

(408) 457-7100

NPI assigned

Jul 18, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cherag Dinshaw Sarkari DDS a Dental Corporation

  • General Practice Dentistry
  • Santa Rosa, CA
  • NPI 1912061656
  NPD (past)
• Western Dental Services, Inc.

  • Dentist
  • Santa Rosa, CA
  • NPI 1023582657
  NPD (past)
• American Dental PLLC

  • Dentist
  • Alexandria, VA
  • NPI 1184221616
  NPD (past)
• Todays Dental at Alexandria PLLC

  • General Practice Dentistry
  • Alexandria, VA
  • NPI 1760080501
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1104302652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E JULIAN ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951124007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E JULIAN ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951124007",
            "telephone_number": "408-457-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISAPOORAN",
        "first_name": "PEDRAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1001922",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "36158",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "106013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ksenia Egorova
• Faina Eichis
• Tara Eiland
• Eileen V Moy Professional Corporation
• Leah Dawn Einhorn, PT, DPT, OCS,FAAOMPT
• Orly Eitan
• Sarah Ruth Eitzman, MD
• Ej Bang'S Acupuncture
• Ek Health Services, Inc.
• Chinyere Lilian Eke

• Dentist in San Jose, CA
• Providers in San Jose, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.