Missagh Pezeshkian, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

51440 Issued in CA

Practice address

150 N Santa Anita Ave
Suite 610
Arcadia, CA 91006-3113

Phone

(626) 445-5840

Fax

(626) 445-7832

NPI assigned

May 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Missagh Pezeshkian, D.D. S., a Professional Corporation

  • General Practice Dentistry
  • Glendale, CA
  • NPI 1578062121
  NPD (past) Authorized official

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1235345877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N SANTA ANITA AVE",
            "address_2": "SUITE 610",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063113",
            "telephone_number": "626-445-5840",
            "fax_number": "626-445-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N SANTA ANITA AVE",
            "address_2": "SUITE 610",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063113",
            "telephone_number": "626-445-5840",
            "fax_number": "626-445-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEZESHKIAN",
        "first_name": "MISSAGH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Ho Win MD Inc
• Peter Yang Ma Medical Inc
• Peter Young D D S Inc
• Teresa Marie Peters, IBCLC
• Ray Anthony Pevey, D.C.
• Ann Pham-Ward, L.AC
• Jenilyn Pham
• Nhi Pham
• Paul Pham
• Phuong Pham

• General Practice Dentistry in Arcadia, CA
• Providers in Arcadia, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.