Organization Active NPI

Elham Kheirkhahi DDS MSD Inc

Doing business as Advanced periodontics implant center

  • Dentist
  • Rancho Mirage, CA
National Provider Identifier
1053455923
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
46081 Issued in CA
Legal business name
ELHAM KHEIRKHAHI DDS MSD INC
Doing business as
Advanced periodontics implant center
Practice address
72780 Country Club Dr
Suite # 402
Rancho Mirage, CA 92270-4126
Phone
(760) 836-1809
Fax
(760) 270-9419
NPI assigned
Feb 16, 2007
Last updated
Mar 5, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
ELHAM KHEIRKHAHI DDS MSD INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Dr. Elham Kheirkhahi-Love, DDS MSD
Title
Dentist
Phone
(760) 836-1809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 46081 CA Primary

Addresses

Primary practice location

72780 Country Club Dr
Suite # 402
Rancho Mirage, CA 92270-4126

Mailing address

72780 Country Club Dr
Suite # 402
Rancho Mirage, CA 92270-4126
Phone (760) 836-1809

Other names 1

  • Advanced periodontics implant center Doing business as

National Provider Directory

National Provider Directory
Part of
Elham Kheirkhahi DDS MSD Inc

Locations

72780 Country Club Dr
Ste 402
Rancho Mirage, CA 92270
Phone (760) 836-1809

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1053455923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR",
            "address_2": "SUITE # 402",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704126",
            "telephone_number": "760-836-1809",
            "fax_number": "760-270-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR",
            "address_2": "SUITE # 402",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704126",
            "telephone_number": "760-836-1809",
            "fax_number": "760-270-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELHAM KHEIRKHAHI DDS MSD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELHAM KHEIRKHAHI DDS MSD INC",
        "enumeration_date": "2007-02-16",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "KHEIRKHAHI-LOVE",
        "authorized_official_first_name": "ELHAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "760-836-1809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MSD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "46081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced periodontics implant center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.