Pedrum Barr, DDS, MDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

100172 Issued in CA

Practice address

14248 Hawthorne Blvd
Hawthorne, CA 90250-7008

Phone

(310) 844-0160

NPI assigned

Apr 26, 2016

Last updated

May 24, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1528413705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 S BENTLEY AVE APT 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14248 HAWTHORNE BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902507008",
            "telephone_number": "310-844-0160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1715 W Redlands Blvd",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923739600",
            "country_code": "US",
            "telephone_number": "909-363-4415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARR",
        "first_name": "PEDRUM",
        "credential": "DDS, MDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-26",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "100172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlian Isata Bangalie
• Banj Health Center, Inc. (Woman and Family Health Clinic)
• Summer Geneva Barber, M.A.
• Roger Baril
• Adrienne Barr, PT, DPT
• Karen Barraca
• Kellie Barrett, DPT, PT
• Denise Barry-Alvey, REGISTERED DIETITIAN
• Allyson Leigh Bates
• Diiehma Michelle Bates

• Orthodontics and Dentofacial Orthopedics Dentistry in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.