NPIMap

Organization Active NPI

Mike Pirbazari, DDS, PHD, Inc.

  • Endodontics
  • Long Beach, CA
National Provider Identifier
1265866958
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
35477 Issued in CA
Legal business name
MIKE PIRBAZARI, DDS, PHD, INC.
Practice address
3317 E. 10TH Street
Long Beach, CA 90804
Phone
(562) 433-3600
Fax
(562) 438-2555
NPI assigned
Aug 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Authorized official

Name
Mike Pirbazari, DDS, PHD
Title
Endodontist/Owner
Phone
(562) 433-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 35477 CA Primary

Addresses

Primary practice location

3317 E. 10TH Street
Long Beach, CA 90804

Mailing address

269 S. Beverly Dr.
Suite 436
Beverly Hills, CA 90212
Phone (310) 339-3836

National Provider Directory

National Provider Directory
Tax ID family
Mike Pirbazari DDS PHD Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3317 E 10th St
Long Beach, CA 90804
Phone (562) 433-3600

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1265866958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 S. BEVERLY DR.",
            "address_2": "SUITE 436",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90212",
            "telephone_number": "310-339-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 E. 10TH STREET",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90804",
            "telephone_number": "562-433-3600",
            "fax_number": "562-438-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE PIRBAZARI, DDS, PHD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "PIRBAZARI",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "ENDODONTIST/OWNER",
        "authorized_official_telephone_number": "562-433-3600",
        "authorized_official_credential": "DDS, PHD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "35477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.