Koushyar Keyhan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46840 Issued in CA

Practice address

20444 Prospect Rd
Suite B
Saratoga, CA 95070-3141

Phone

(408) 252-6000

Fax

(408) 252-3652

NPI assigned

Jan 10, 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

State licenses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619026382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 E EL CAMINO REAL",
            "address_2": "# 114 E",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873741",
            "telephone_number": "408-746-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20444 PROSPECT RD",
            "address_2": "SUITE B",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950703141",
            "telephone_number": "408-252-6000",
            "fax_number": "408-252-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYHAN",
        "first_name": "KOUSHYAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Inhye Kang, OD
• Darlene Anne Karasik, RN, CNS
• Richard Paul Karasik, CMT
• Yuko Kawasaki, RN
• Marhya Justine Kelsch, LCSW
• DO Yeun Kim
• Heather Hyesung Kim, DDS
• Sang Yop Kim, ACUPUNCTURIST
• Kiran Rapal DDS Inc.
• Kirsten Krause Chiropractic Inc

• General Practice Dentistry in Saratoga, CA
• Providers in Saratoga, 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 Jul 8, 2007; 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.