Keiko Kikuchi de Beltran DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

2901017962 Issued in MI

Legal business name

KEIKO KIKUCHI DE BELTRAN DDS PC

Practice address

21580 Novi Rd
Suite 100
Novi, MI 48375

Phone

(248) 767-7117

Fax

(248) 692-0644

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Keiko Kikuchi de Beltran, DDS

Title

Ceo

Phone

(248) 767-7117

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265596415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21580 NOVI RD",
            "address_2": "SUITE 100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48375",
            "telephone_number": "248-767-7117",
            "fax_number": "248-692-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21580 NOVI RD",
            "address_2": "SUITE 100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48375",
            "telephone_number": "248-767-7117",
            "fax_number": "248-692-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEIKO KIKUCHI DE BELTRAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIKUCHI DE BELTRAN",
        "authorized_official_first_name": "KEIKO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-767-7117",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901017962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Amelia-Nicole Keene
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• Eytan Keidar, D.O.
• Briana Kelepouris
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• Pamela Kelley

• Dentist in Novi, MI
• Providers in Novi, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.