Organization Active NPI

Pegha Karimi DDS PC

  • Pediatric Dentistry
  • San Antonio, TX
National Provider Identifier
1861761553
Registry record updated Dec 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
23632 Issued in TX
Legal business name
PEGHA KARIMI DDS PC
Practice address
6511 W Loop 1604 N
Suite #105
San Antonio, TX 78254-5438
Phone
(210) 688-2204
NPI assigned
Dec 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2011

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

Authorized official

Name
Pegha Karimi, DDSNPI 1366621120
Title
President
Phone
(210) 264-8536

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 23632 TX Primary

Addresses

Primary practice location

6511 W Loop 1604 N
Suite #105
San Antonio, TX 78254-5438

Mailing address

6511 W Loop 1604 N
Suite #105
San Antonio, TX 78254-5438

National Provider Directory

National Provider Directory

Locations

6511 W Loop 1604 N
Ste 105
San Antonio, TX 78254
Phone (210) 264-8536

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324684800000",
    "number": "1861761553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 W LOOP 1604 N",
            "address_2": "SUITE #105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782545438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 W LOOP 1604 N",
            "address_2": "SUITE #105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782545438",
            "telephone_number": "210-688-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGHA KARIMI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-24",
        "last_updated": "2011-12-24",
        "status": "A",
        "authorized_official_last_name": "KARIMI",
        "authorized_official_first_name": "PEGHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-264-8536",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "23632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2011; 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.