Ardavan R. Kheradpir, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

52875 Issued in CA

Practice address

1903 E Fir Ave Ste 101
Fresno, CA 93720-3862

Phone

(559) 226-2722

Fax

(559) 226-6989

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral Surgery

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fresno Oral Maxillofacial Surgery and Dental Implant CenterGroup PAC ID 4981789377, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fresno Oral Maxillofacial Surgery and Dental Implant Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Fresno, CA
  • NPI 1750481735
  Medicare reassignment Care Compare group NPD
• Bassam Ekram Michiel DDS Inc

  dba Bassam Michiel DDS

  • Dentist
  • Madera, CA
  • NPI 1710774492
  NPD (past)
• Fresno Community Hospital and Medical Center

  dba Community Regional Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1104906569
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1053417261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 E FIR AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203862",
            "telephone_number": "559-226-2722",
            "fax_number": "559-226-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 E FIR AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203862",
            "telephone_number": "559-226-2722",
            "fax_number": "559-226-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHERADPIR",
        "first_name": "ARDAVAN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "52875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bhavik Khatri, D.O.
• Gita Khattaie, FNP
• Shahab Khazanehdari, M.D.
• Ajit Singh Khera, PHARMD
• Satinderpal Singh Khera, M.D.
• Majdolin Saad Kherfan
• Tiffany Khiev, MSW
• Alina Khil
• Avneet Kaur Khinda
• Khobcare, LLC

• Oral and Maxillofacial Surgery (Dentist) in Fresno, CA
• Providers in Fresno, 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 Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.