Active NPI
Keikhan & Fahid, a Dental Corporation
- Endodontics
- Valencia, CA
National Provider Identifier
1124357397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 53806
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 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 DirectoryNPI 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.