Babak Pezeshk, D.D.S

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

47547 Issued in CA

Practice address

6716 Greenleaf Ave
Whittier, CA 90601-4109

Phone

(562) 696-5544

Fax

(562) 696-9221

NPI assigned

Dec 3, 2007

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

Other names 1

• Aaron Paz Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1760664692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6716 GREENLEAF AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014109",
            "telephone_number": "562-696-5544",
            "fax_number": "562-696-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6716 GREENLEAF AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014109",
            "telephone_number": "562-696-5544",
            "fax_number": "562-696-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEZESHK",
        "first_name": "BABAK",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-03",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "47547",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47547",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AARON",
            "last_name": "PAZ",
            "credential": "D.D.S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Curtis John Perry, M.D.
• Daniella Peters, SLPA
• Don Peterson
• Patrick Petti, PHARMD
• Alexis Pettway, ATC
• Allyson Banales Pfeifer, CCC-SLP
• Lauren B Pfeifroth
• Richard Phair, M.D.
• Andrew Pham, PHARMD
• Andrew Pham, MD

• All providers in Whittier, CA
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.