Individual provider Active NPI

Shawn P. Pesh, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Murrieta, CA
National Provider Identifier
1205951548
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
48538 Issued in CA
Practice address
41011 California Oaks Rd Ste 201
Murrieta, CA 92562-5751
Phone
(951) 698-8200
NPI assigned
Mar 19, 2007
Last updated
Dec 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 48538 CA Primary

Addresses

Primary practice location

41011 California Oaks Rd Ste 201
Murrieta, CA 92562-5751

Mailing address

41011 California Oaks Rd Ste 201
Murrieta, CA 92562-5751
Phone (951) 698-8200

Other practice location 1

29826 Haun Rd Ste 101
Menifee, CA 92586-6547
Phone (951) 325-6259

Other practice location 2

27450 Ynez Rd Ste 106
Temecula, CA 92591-4649
Phone (951) 693-9373

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
48538CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Shawn P. Pesh, DDS, Ms, Inc. Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: spesh@direct.westerndental.com

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, 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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1205951548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41011 CALIFORNIA OAKS RD STE 201",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625751",
            "telephone_number": "951-698-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41011 CALIFORNIA OAKS RD STE 201",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625751",
            "telephone_number": "951-698-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29826 Haun Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Menifee",
            "state": "CA",
            "postal_code": "925866547",
            "country_code": "US",
            "telephone_number": "951-325-6259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27450 Ynez Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925914649",
            "country_code": "US",
            "telephone_number": "951-693-9373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PESH",
        "first_name": "SHAWN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "48538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.