Pedram Doroudgar

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37269 Issued in TX

Practice address

8202 N Loop 1604 W Ste 101
San Antonio, TX 78249-2898

Phone

(210) 503-1604

NPI assigned

Jun 17, 2021

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

Practice roles

Locations

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.

• Perya PLLC

  • Dentist
  • San Antonio, TX
  • NPI 1376367284
  NPD Authorized official
• South Park Family Dental Care PA

  • Dental Clinic/Center
  • San Antonio, TX
  • NPI 1467586768
  NPD (past)

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1710556402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 N LOOP 1604 W STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492898",
            "telephone_number": "210-503-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 N LOOP 1604 W STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492898",
            "telephone_number": "210-503-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOROUDGAR",
        "first_name": "PEDRAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-17",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Doria
• Richard Josephus Doria
• Monica Dorman, M.S., CCC-SLP, LSLS
• Tamika Dormio
• Joanne Dorn, ARNP
• Karoline Dorr, IONM
• Marjan Dorraji
• Kevin Arnold Dorrance, MD
• Kwasiada Dorrielan
• Kristy Dorsa

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.