Pooyan Sadr Eshkevari, MD, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DEN03652 Issued in RI

Practice address

1370 S County TRL Lowr Level
East Greenwich, RI 02818-1625

Phone

(401) 885-1450

NPI assigned

Jul 22, 2015

Sex

Male

Sole proprietor

No

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

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• University Oral & Maxillofacial Surgery LTD

  • Oral and Maxillofacial Surgery (Dentist)
  • East Greenwich, RI
  • NPI 1700817384
  NPD (past)

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1497130256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 S COUNTY TRL LOWR LEVEL",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181625",
            "telephone_number": "401-885-1450",
            "fax_number": "401-885-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 S COUNTY TRL LOWR LEVEL",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181625",
            "telephone_number": "401-885-1450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "827 N Main St Ste 6",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029045751",
            "country_code": "US",
            "telephone_number": "401-724-7230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "593 Eddy St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034923",
            "country_code": "US",
            "telephone_number": "401-444-1760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADR ESHKEVARI",
        "first_name": "POOYAN",
        "credential": "MD, DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-22",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "RI",
            "license": "DEN03652",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "RI",
            "license": "DEN03652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan S Allen DO LLC
• Deborah Ann Ryan, N.P.
• Zachary Daniel Ryan, LICSW
• S H Opco Greenwich Bay Manor LLC
• Julian Michael Saad, PHD
• Saint Elizabeth Home East Greenwich
• Lindsay Rose Sakellarios
• Anne Salisbury
• Philip A Salko, M.D.
• Joann Sarro, D.AC

• Oral and Maxillofacial Surgery (Dentist) in East Greenwich, RI
• Providers in East Greenwich, RI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.