Individual provider Active NPI

Sid Pazokian, D.D.S

  • General Practice Dentistry
  • Chapel Hill, NC
National Provider Identifier
1194869263
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8252 Issued in NC
Practice address
121 S Estes Dr
Suit#206
Chapel Hill, NC 27514-2868
Phone
(919) 933-3310
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8252 NC Primary

Addresses

Primary practice location

121 S Estes Dr
Suit#206
Chapel Hill, NC 27514-2868

Mailing address

404 Tresa Brook CT
Cary, NC 27519-8768
Phone (919) 760-7123

Other identifiers 1

IdentifierTypeStateIssuer
5905565MedicaidNC

Other names 1

  • Saeed Pazokian Former name

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
8252NCMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: sid.pazokian.p1@direct.personfamily.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1194869263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 TRESA BROOK CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198768",
            "telephone_number": "919-760-7123",
            "fax_number": "919-372-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S ESTES DR",
            "address_2": "SUIT#206",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142868",
            "telephone_number": "919-933-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZOKIAN",
        "first_name": "SID",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905565",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAEED",
            "last_name": "PAZOKIAN",
            "credential": "D.D.S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.