JOEY PEDRAM D.D.S.
NPI 1003106949
Dentist - Pediatric Dentistry in Simi Valley, CA

Q: What is Joey Pedram's NPI number?

The NPI number for Joey Pedram is 1003106949. It was assigned to this individual provider in the NPPES registry on April 12, 2011.

Q: What is Joey Pedram's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Joey Pedram was last updated on April 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 12, 2011PECOS Enrolled

1188 ROADRUNNER WAY, SIMI VALLEY, CA 93065(805) 526-1188 Get Directions Write a Review

NPPES record last updated: April 12, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Joey Pedram D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOEY PEDRAM D.D.S. (NPI 1003106949) is an individual pediatric dentistry provider in Simi Valley, California, licensed in California (60095) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003106949

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameJOEY PEDRAMCredential: D.D.S.

Location Address1188 ROADRUNNER WAYSimi Valley, CA 93065-3158

Mailing Address1188 Roadrunner WaySimi Valley, CA 93065-3158 · (805) 526-1188

Phone(805) 526-1188

Sole ProprietorYes

Enumeration DateApril 12, 2011

✔ NPI 1003106949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in CA · 60095

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

1188 ROADRUNNER WAY, Simi Valley, CA 93065

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joey Pedram D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$95.28 typical visit price

range $62.32 – $185.36

Typical copayment $23.82 (range $15.58 – $46.34)

Most-billed visit code 99203

Established Patient

$77.11 typical visit price

range $20.68 – $151.85

Typical copayment $19.27 (range $5.17 – $37.96)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joey Pedram's NPI number?

The NPI number for Joey Pedram is 1003106949. It was assigned to this individual provider in the NPPES registry on April 12, 2011.

Where is Joey Pedram located?

Joey Pedram practices at 1188 Roadrunner Way, Simi Valley, CA 93065. The listed phone number is (805) 526-1188.

What is Joey Pedram's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Joey Pedram enrolled in Medicare?

Yes. Joey Pedram is registered in the Medicare PECOS enrollment system.

What insurance does Joey Pedram accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Joey Pedram as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Joey Pedram was last updated on April 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.