Organization Active NPI

Keikhan & Fahid, a Dental Corporation

  • Endodontics
  • Valencia, CA
National Provider Identifier
1124357397
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
53806 Issued in CA
Legal business name
KEIKHAN & FAHID, A DENTAL CORPORATION
Practice address
25880 Tournament Rd
Suite 106
Valencia, CA 91355-2349
Phone
(661) 222-7267
Fax
(661) 222-7269
NPI assigned
Dec 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Authorized official

Name
Dr. Kourosh Keikhanzadeh, D.D.S., M.D.S.C
Title
President
Phone
(661) 222-7267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 53806 CA Primary

Addresses

Primary practice location

25880 Tournament Rd
Suite 106
Valencia, CA 91355-2349

Mailing address

25880 Tournament Rd
Suite 106
Valencia, CA 91355-2349
Phone (661) 222-7267

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1124357397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25880 TOURNAMENT RD",
            "address_2": "SUITE 106",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552349",
            "telephone_number": "661-222-7267",
            "fax_number": "661-222-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25880 TOURNAMENT RD",
            "address_2": "SUITE 106",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552349",
            "telephone_number": "661-222-7267",
            "fax_number": "661-222-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEIKHAN & FAHID, A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "KEIKHANZADEH",
        "authorized_official_first_name": "KOUROSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-222-7267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.D.S.C"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "53806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.