Sarkis Keshishyan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48727 Issued in CA

Practice address

1460 Grandview Ave
Glendale, CA 91201-1418

Phone

(818) 502-4840

Fax

(818) 502-4843

NPI assigned

Jan 31, 2007

Sex

Male

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

Enrolled in CA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Keshishyan Dental Corporation

  • General Practice Dentistry
  • Glendale, CA
  • NPI 1982800744
  NPD Authorized official

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1588701072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 GRANDVIEW AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011418",
            "telephone_number": "818-502-4840",
            "fax_number": "818-502-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 GRANDVIEW AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011418",
            "telephone_number": "818-502-4840",
            "fax_number": "818-502-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESHISHYAN",
        "first_name": "SARKIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andranik Keshishyan, D.C.
• Aykanush Keshishyan, LVN
• Edit Kathy Keshishyan, OT
• Nelly Keshishyan
• Samvel Keshishyan, DPM
• Vardush Keshishyan, M.A.
• Heghine Gina Kestenian
• Armand Keuroghlian, DDS
• Kevin G. Galstyan M.D., Inc
• Kevin J Pelton MD Inc (Los Angeles Orthopaedic Surgery Specialists)

• General Practice Dentistry in Glendale, CA
• Providers in Glendale, 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 Nov 2, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.