Pedram Eisapooran, DDS
NPI 1104302652 · Dentist · San Jose, CA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pedram Eisapooran, DDS is a Dentist provider in San Jose, CA (NPI 1104302652).
Provider details
- NPI number
- 1104302652
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DEN1001922 (DC)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-07-18
- Last updated
- 2025-04-01
- Certified
- 2025-04-01
Frequently asked questions
- What is Pedram Eisapooran's NPI number?
- Pedram Eisapooran's National Provider Identifier (NPI) is 1104302652, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pedram Eisapooran's specialty?
- Pedram Eisapooran is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Pedram Eisapooran located?
- Pedram Eisapooran's practice location on file with NPPES is 55 E Julian St, San Jose, CA 95112-4007.
- What is Pedram Eisapooran's phone number?
- The practice phone number listed in the NPPES registry for Pedram Eisapooran is (408) 457-7100.
- Does Pedram Eisapooran accept Medicare?
- Pedram Eisapooran is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pedram Eisapooran's NPI active?
- Yes — Pedram Eisapooran's NPI (1104302652) is active in the NPPES registry as of the last update on 2025-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.