Active NPI
Talal Elkhyat
- General Practice Dentistry
- Rancho Mirage, CA
National Provider Identifier
1740964584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- SP330
- Practice address
- 71949 Highway 111
Rancho Mirage, CA 92270-4827 - Phone
- (760) 565-6055
- NPI assigned
- Jun 12, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | SP330 | CA | Primary |
Addresses
Primary practice location
71949 Highway 111
Rancho Mirage, CA 92270-4827
Mailing address
71949 Ca-111
Ste 100B Ste 100B
Rancho Mirage, CA 92270
Phone (760) 565-6055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP330 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761868800000",
"number": "1740964584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71949 CA-111",
"address_2": "STE 100B STE 100B",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "92270",
"telephone_number": "760-565-6055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71949 HIGHWAY 111",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922704827",
"telephone_number": "760-565-6055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELKHYAT",
"first_name": "TALAL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-12",
"last_updated": "2025-10-31",
"certification_date": "2025-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "SP330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.