Organization Active NPI

Shawn P. Pesh, DDS, Ms, Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Murrieta, CA
National Provider Identifier
1295207041
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SHAWN P. PESH, DDS, MS, INC.
Practice address
41011 California Oaks Rd Ste 201
Murrieta, CA 92562-5751
Phone
(951) 698-8200
NPI assigned
Dec 18, 2018
Last updated
Dec 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Authorized official

Name
Shawn P. Pesh, DDS, MSNPI 1205951548
Title
President/Orthodontist
Phone
(951) 698-8200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 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

National Provider Directory

National Provider Directory

Locations

29826 Haun Rd
Ste 101
Menifee, CA 92586
Phone (951) 325-6259

41011 California Oaks Rd
Ste 201
Murrieta, CA 92562
Phone (951) 698-8200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1295207041",
    "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"
        }
    ],
    "basic": {
        "organization_name": "SHAWN P. PESH, DDS, MS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "PESH",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT/ORTHODONTIST",
        "authorized_official_telephone_number": "951-698-8200",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "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.

Verify at the official NPI Registry.