Active NPI
Shawn P. Pesh, DDS, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Murrieta, CA
National Provider Identifier
1205951548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 48538
- 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, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 48538 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawn P. Pesh, DDS, Ms, Inc. | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Murrieta, CA
- NPI 1295207041
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.