Mkhail Keselbrener

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45887 Issued in CA

Practice address

9025 Wilshire Blvd Ste 305
Beverly Hills, CA 90211-1827

Phone

(310) 859-2432

NPI assigned

Mar 30, 2015

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 9, 2016 through May 9, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Beverly Hills Dental Care

  • Dentist
  • Beverly Hills, CA
  • NPI 1124162987
  NPD (past)

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1356736060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 WILSHIRE BLVD STE 305",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111827",
            "telephone_number": "310-859-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 WILSHIRE BLVD STE 305",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111827",
            "telephone_number": "310-859-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESELBRENER",
        "first_name": "MKHAIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payam Ezra Kerendian, DO
• Kathleen Kern, LCSW
• Kerry K Assil, MD, Inc.
• Kerry K. Assil, M.D., Inc.
• Kassandra Kershaw
• Dennis Kessler, O.M.D., L.AC.
• Rachel K Kessler, PH.D.
• Ari Garrett Kestenberg, MD
• Hanna Ketai, LMFT
• Kevin Brenner, MD, a Medical Corporation

• General Practice Dentistry in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.