Individual provider Active NPI

Paymon Pahlavan, DDS

  • Dentist
  • Houston, TX
National Provider Identifier
1780847301
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24039 Issued in TX
Practice address
10815 Veterans Memorial Dr Ste 1000
Houston, TX 77067-3845
Phone
(281) 529-6266
NPI assigned
Jul 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 102246 CA
Dentist 122300000X 24039 TX Primary

Addresses

Primary practice location

10815 Veterans Memorial Dr Ste 1000
Houston, TX 77067-3845

Mailing address

10815 Veterans Memorial Dr Ste 1000
Houston, TX 77067-3845
Phone (281) 529-6266

Other practice location 1

410 W Little York Rd
Houston, TX 77076-1305
Phone (281) 447-7220

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

State licenses

LicenseStateTypeSpecialty
102246CAMDDentist
24039TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Poorang Pahlavan DDS PLLC Past Accepting new patients
Paymon Pahlavan, DDS, PA Past Accepting new patients

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": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1780847301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10815 VETERANS MEMORIAL DR STE 1000",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770673845",
            "telephone_number": "281-529-6266",
            "fax_number": "281-529-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 VETERANS MEMORIAL DR STE 1000",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770673845",
            "telephone_number": "281-529-6266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 W Little York Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770761305",
            "country_code": "US",
            "telephone_number": "281-447-7220",
            "fax_number": "281-447-7221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAHLAVAN",
        "first_name": "PAYMON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "102246",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "24039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.