DR. PEDRAM KHOSRAVIAN D.M.D. NPI 1770716243

NPI Information

  • NPI: 1770716243
  • Provider Name: DR. PEDRAM KHOSRAVIAN, D.M.D.
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1920 CORPORATE DR. STE 107A
    SAN MARCOS, TX
    ZIP 78666
  • Phone: (512) 722-6338

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NPI Details

DR. Pedram Khosravian, D.M.D. is an endodontics dentist in San Marcos, TX. The provider is 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. DR. Pedram Khosravian, D.M.D. NPI is 1770716243. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1920 CORPORATE DR. STE 107A
SAN MARCOS, TX
ZIP 78666
Phone: (512) 722-6338

The NPI 1770716243 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/31/2009 and was last updated on 12/13/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice58700CALIFORNIANo
21223G0001XDentistGeneral Practice25904TEXASNo
31223E0200XDentistEndodontics25904TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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