Active NPI
Nshan D Dekeyan DPM
- Foot & Ankle Surgery Podiatrist
- Northridge, CA
National Provider Identifier
1639844194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- NSHAN D DEKEYAN DPM
- Practice address
- 19300 Rinaldi St Unit 7554
Northridge, CA 91327-8828 - Phone
- (818) 697-8767
- Fax
- (818) 657-8776
- NPI assigned
- Aug 16, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nshan Davet Dekeyan, DPM
- Title
- Owner
- Phone
- (818) 697-8767
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
19300 Rinaldi St Unit 7554
Northridge, CA 91327-8828
Mailing address
1901 E 1St St
PO Box 467
Newton, KS 67114-0467
Phone (316) 284-6402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E5603 | Other | CA | LICENSE |
National Provider Directory
National Provider DirectoryLocations
19300 Rinaldi St
Unit 7554
Northridge, CA 91327
Phone (818) 697-8767
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Reseda, CA
- NPI 1932623659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629072000000",
"number": "1639844194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 E 1ST ST",
"address_2": "PO BOX 467",
"city": "NEWTON",
"state": "KS",
"postal_code": "671140467",
"telephone_number": "316-284-6402",
"fax_number": "316-284-6402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19300 RINALDI ST UNIT 7554",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913278828",
"telephone_number": "818-697-8767",
"fax_number": "818-657-8776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NSHAN D DEKEYAN DPM",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-16",
"last_updated": "2021-08-16",
"certification_date": "2021-07-16",
"status": "A",
"authorized_official_last_name": "DEKEYAN",
"authorized_official_first_name": "NSHAN",
"authorized_official_middle_name": "DAVET",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-697-8767",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "E5603",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.