Individual provider Active NPI

Arash Pezeshkpoor

  • Dentist
  • Chicago, IL
National Provider Identifier
1245126168
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.036164 Issued in IL
Practice address
2620 N Halsted St
Chicago, IL 60614-7694
Phone
(312) 373-1117
NPI assigned
Jun 16, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.036164 IL Primary

Addresses

Primary practice location

2620 N Halsted St
Chicago, IL 60614-7694

Mailing address

2620 N Halsted St
Chicago, IL 60614-7694
Phone (312) 373-1117

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
019.036164ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mehr Dental Arts and Orthodontics, P.C Dentist CurrentSince Jun 23, 2025 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": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1245126168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 N HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147694",
            "telephone_number": "312-373-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 N HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147694",
            "telephone_number": "312-373-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEZESHKPOOR",
        "first_name": "ARASH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.036164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.