Pejman Khosravian P.C

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

25269 Issued in TX

Legal business name

PEJMAN KHOSRAVIAN P.C

Practice address

1920 Corporate Dr # 107a
San Marcos, TX 78666-6077

Phone

(512) 722-6338

NPI assigned

Apr 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Pejman Khosravian, D.M.D

Title

Owner

Phone

(512) 722-6338

Specialties & licenses 1

Addresses

Other names 1

• San Marcos Root Canal Specialists Doing business as

Locations

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1669739819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 CORPORATE DR # 107A",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 CORPORATE DR # 107A",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666077",
            "telephone_number": "512-722-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEJMAN KHOSRAVIAN P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "KHOSRAVIAN",
        "authorized_official_first_name": "PEJMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-722-6338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "25269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Marcos Root Canal Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laurie Enis Paxson, LOC
• Ashley Paxton
• Angie Pazmino
• Steven Pearce, M.D.
• Pediatric Endocrinology of Central Texas PLLC
• Jean M Pelata, LVN
• Emily L Pena
• Jose Ovidio Pena Jr., MD
• Gerard M Pennington, MD
• Amanda Perez

• Endodontics in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.