Individual provider Active NPI

Pedram Soltanzadeh, DMD

  • General Practice Dentistry
  • Whittier, CA
National Provider Identifier
1205900438
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52781 Issued in CA
Practice address
13471 Telegraph Rd Ste B
Whittier, CA 90605-3468
Phone
(562) 777-7719
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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 52781 CA Primary

Addresses

Primary practice location

13471 Telegraph Rd Ste B
Whittier, CA 90605-3468

Mailing address

13471 Telegraph Rd Ste B
Whittier, CA 90605-3468
Phone (562) 777-7719

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
52781CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pedram Soltanzadeh, DMD Inc General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1205900438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13471 TELEGRAPH RD STE B",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906053468",
            "telephone_number": "562-777-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13471 TELEGRAPH RD STE B",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906053468",
            "telephone_number": "562-777-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLTANZADEH",
        "first_name": "PEDRAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.