Pedram Bohluli, D.D.S.,M.S., PH.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

23469 Issued in TX

Practice address

9400 Westheimer Rd
Houston, TX 77063-3414

Phone

(713) 932-7730

Fax

(713) 932-7244

NPI assigned

Aug 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1235323528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 WESTHEIMER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770633414",
            "telephone_number": "713-932-7730",
            "fax_number": "713-932-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 WESTHEIMER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770633414",
            "telephone_number": "713-932-7730",
            "fax_number": "713-932-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHLULI",
        "first_name": "PEDRAM",
        "credential": "D.D.S.,M.S., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-30",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "56200",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "23469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Ikem Bogwu, M.D.
• Sarah Bohac
• Timothy P. Bohan, PH.D.,M.D.,PA
• Ashlee Bohanon
• Bohica, Inc. (CMR-Choice Medical Resources)
• Rayna Wilson Bohmann, SLP
• Sarah Chelsea Bohn, M.A., CCC-SLP, CLC
• Julianne G Bohnenkamp, LMSW
• Byron J Bohnn, MD
• Stephanie Vanessa Bohorquez

• Endodontics in Houston, TX
• Providers in Houston, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.