Individual provider Active NPI

Pedram Malek, DDS

  • General Practice Dentistry
  • Rolesville, NC
National Provider Identifier
1134202302
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10272 Issued in NC
Practice address
310A S Main St
Rolesville, NC 27571-9661
Phone
(650) 961-5975
NPI assigned
Oct 23, 2006
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10272 NC Primary
General Practice Dentistry 1223G0001X 54016 CA

Addresses

Primary practice location

310A S Main St
Rolesville, NC 27571-9661

Mailing address

310A S Main St
Rolesville, NC 27571-9661

Other practice location 1

7100 Six Forks Rd Ste 235
Raleigh, NC 27615-6260
Phone (919) 782-3798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
54016CAMDMarriage & Family Therapist
10272NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pedram Malek, DDS, PA General Practice CurrentSince May 12, 2024 Accepting new patients
Pedram Malek, DDS, PA General Practice CurrentSince Aug 29, 2021 Accepting new patients
Melko Dental Group Past Accepting new patients
Beverly Thurmond DDS PLLC General Practice Past Accepting new patients

Locations

7100 Six Forks Rd
Ste 235
Raleigh, NC 27615
Phone (919) 782-3798

310A S Main St
Rolesville, NC 27571
Phone (650) 961-5975

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1134202302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310A S MAIN ST",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275719661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310A S MAIN ST",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275719661",
            "telephone_number": "650-961-5975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7100 Six Forks Rd Ste 235",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276156260",
            "country_code": "US",
            "telephone_number": "919-782-3798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALEK",
        "first_name": "PEDRAM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10272",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.