Office of Dr. Pakravan DDS, Inc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

OFFICE OF DR. PAKRAVAN DDS, INC

Practice address

2136 University Ave
Berkeley, CA 94704-1026

Phone

(510) 548-3368

Fax

(510) 259-2496

NPI assigned

Sep 3, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Needham, DDS

Title

Owner

Phone

(510) 548-3368

Specialties & licenses 1

Addresses

Other names 1

• Campos Dental Care Doing business as

Locations

Practitioners 1

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

• Leila Pakravan, DDS

  • Dentist
  • Berkeley, CA
  • NPI 1568027183
  NPD (past)

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1871107102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 UNIVERSITY AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041026",
            "telephone_number": "510-548-3368",
            "fax_number": "510-259-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 UNIVERSITY AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041026",
            "telephone_number": "510-548-3368",
            "fax_number": "510-259-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFICE OF DR. PAKRAVAN DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "NEEDHAM",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-548-3368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campos Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria De Jesus Ochoa Murillo, RN, IBCLC
• Denise Michelle Ochoa, NP-C
• Natalia Ochoa
• Golaun Odabaei, M.D
• Beth F Oelberger, MFT
• Chiara F. Ogan
• Alexa Oghobaase, MFT
• Obianauju Vivian Ogu
• Sohyun Oh, PHARMD
• Alejandra Ojeda-Beck

• Oral and Maxillofacial Surgery (Dentist) in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.