DR. PEDRAM KHOSRAVIAN (NPI# 1770716243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770716243 |
| Entity Type | Individual |
| Full Name | DR. PEDRAM KHOSRAVIAN |
| Credential | D.M.D. |
| Practice Address |
1920 Corporate Dr. Ste 107a San Marcos TX 78666 |
| Practice Telephone | 5127226338 |
| Mailing Telephone | 5127226338 |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2013-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
25904 | TX | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
25904 | TX | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
58700 | CA | Dental Providers |
| Street Address |
1920 CORPORATE DR. STE 107A |
| City | SAN MARCOS |
| State | TX |
| Zip Code | 78666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656198 | Jodie Lynn Stauffer | Social Worker | 2497 Fm 1979, San Marcos, TX 78666 | 2020-10-14 |
| 1619590965 | Ann Mary Carney | Occupational Therapist | 302 Riverside Dr, San Marcos, TX 78666 | 2020-05-21 |
| 1811510381 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 101 Concho St, San Marcos, TX 78666 | 2020-05-19 |
| 1174157101 | Chase Joseph Gibson | Specialist/Technologist | 616 N Lbj Dr, Beretta Hall 401, San Marcos, TX 78666 | 2020-02-28 |
| 1548800782 | Emily Granger | Specialist/Technologist | 106 Charles Austin Dr, San Marcos, TX 78666 | 2020-01-15 |
| 1689138562 | Joseph Richard Lednicky | Specialist/Technologist | 700 Aquarena Springs Drive, San Marcos, TX 78666 | 2019-01-25 |
| 1376007336 | Viktoria Guerrero | Specialist/Technologist | Jowers Access Rd, San Marcos, TX 78666 | 2019-01-24 |
| 1336611771 | Joan Marie Wood | Occupational Therapist | Cole Pediatric Therapy, 101 Uhland Rd, San Marcos, TX 78666 | 2018-12-26 |
| 1851861496 | Kingfisher Health LLC | Home Health | 125 Mccarty Lane, San Marcos, TX 78666 | 2018-11-27 |
| 1669954723 | Christopher Macha | Student in an Organized Health Care Education/Training Program | 1 Jowers Access Road, San Marcos, TX 78666 | 2018-09-05 |
| Find all providers in zip 78666 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669739819 | Pejman Khosravian P.c | Dentist | 1920 Corporate Dr # 107a, San Marcos, TX 78666-6077 | 2012-04-12 |
| 1588011902 | San Marcos Dsg Pllc | Dentist | 1920 Corporate Dr Ste A107, San Marcos, TX 78666-6282 | 2016-05-16 |
| 1568613610 | Tyler Frederic Baker | Dentist | 365 S Rancho Santa Fe Rd, 201, San Marcos, CA 92078-2338 | 2008-10-07 |
| 1649394248 | Long Hoang Le | Dentist | 1595 Grand Ave, Suite 105, San Marcos, CA 92078-2450 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221392 | Erika Silguero | Dentist | 101 E Expressway 83 Ste 120, Mcallen, TX 78501-1164 | 2020-10-01 |
| 1952925968 | Premier Endodontics, P.C. | Dentist | 3400 N Mccoll Rd Ste C, Mcallen, TX 78501-5783 | 2020-06-04 |
| 1982233318 | Patency Capital LLC | Dentist | 1050 Yale St Ste 210, Houston, TX 77008-2831 | 2020-04-07 |
| 1174158661 | Hira Assad | Dentist | Spring Klein Endodontics, 6078 Farm To Market 2920, Spring, TX 77379 | 2020-03-05 |
| 1366074890 | Magnolia Family Dentistry Pllc | Dentist | 610 Melton St Ste 300, Magnolia, TX 77354-2366 | 2020-02-12 |
| 1639719925 | Yelton Jung Endodontics Group | Dentist | 1901 Fm 423 Ste 200, Frisco, TX 75033-4729 | 2020-01-14 |
| 1528608817 | Yelton Jung Endodontics Group | Dentist | 1710 Highway 287 N Ste 100, Mansfield, TX 76063-7725 | 2020-01-14 |
| 1699323618 | Jaymin Jayantibhai Patel | Dentist | 2112 Boll St Apt 122, Dallas, TX 75204-2835 | 2019-09-03 |
| 1851943989 | Jae Ha Jung Dds Pllc | Dentist | 1901 Fm 423, Ste 200, Little Elm, TX 75068 | 2019-07-09 |
| 1790349165 | Endodontics & Microsurgery Center PC | Dentist | 23543 Kingsland Blvd Ste 500, Katy, TX 77494-3962 | 2019-04-30 |
| Find all providers with the same taxonomy | ||||
| City | SAN MARCOS |
| Zip Code | 78666 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.