Nicku Renee Keshavarz, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D012469 Issued in AZ

Practice address

34317 N Cave Creek Rd Ste 103
Cave Creek, AZ 85331-5137

Phone

(480) 595-0800

NPI assigned

Jun 5, 2024

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Pacific Dental Services Foundation

  • Medical Physician Assistant
  • Phoenix, AZ
  • NPI 1659848208
  NPD
• Cave Creek Dentistry, LLP

  • General Practice Dentistry
  • Cave Creek, AZ
  • NPI 1720483423
  NPD (past)

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1295576098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7160 E KIERLAND BLVD APT 608",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34317 N CAVE CREEK RD STE 103",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853315137",
            "telephone_number": "480-595-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4550 E Bell Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850329342",
            "country_code": "US",
            "telephone_number": "602-344-9530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KESHAVARZ",
        "first_name": "NICKU",
        "middle_name": "RENEE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D012469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• K Rhodes OD PLLC
• Madison Marie Kapers, DMD
• Courtney Anne Kaplan, PHARMD
• Julie Ann Kaplan, MC,LPC
• Jacqueline Kasnot, DNP
• Joseph Mathew Kezele, M.D.
• Osama Mohamed Khalifa
• Sawsan Khoury, R.PH.
• Linda Killingbeck, RN
• Nichole Dasom Kim

• Dentist in Cave Creek, AZ
• Providers in Cave Creek, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.