Individual provider Active NPI

Michael Nikolas Pirayou, DDS

  • Dentist
  • San Jose, CA
National Provider Identifier
1568019446
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
104315 Issued in CA
Practice address
4984 Cherry Ave
San Jose, CA 95118-2748
Phone
(669) 274-0921
NPI assigned
Aug 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 104315 CA Primary

Addresses

Primary practice location

4984 Cherry Ave
San Jose, CA 95118-2748

Mailing address

1310 Saddle Rack St Apt 450
San Jose, CA 95126-5111

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pirayou Dental Incorporated CurrentSince Mar 19, 2023 Accepting new patients
Mohini Patel Dental Corporation PastSince Sep 1, 2019 Accepting new patients

Locations

4984 Cherry Ave
San Jose, CA 95118
Phone (408) 265-9640

Organizations & group practices 2

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": "1566604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1568019446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 SADDLE RACK ST APT 450",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951265111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4984 CHERRY AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951182748",
            "telephone_number": "669-274-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRAYOU",
        "first_name": "MICHAEL",
        "middle_name": "NIKOLAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-24",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "104315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.