Individual provider Active NPI

Rohit Keshav, D.D.S.

  • General Practice Dentistry
  • Ramona, CA
National Provider Identifier
1770502874
Registry record updated Dec 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41740 Issued in CA
Practice address
1530 Main St
Suite 17
Ramona, CA 92065-5244
Phone
(760) 789-8060
Fax
(760) 789-8061
NPI assigned
Jul 19, 2006
Last updated
Dec 27, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 41740 CA Primary
General Practice Dentistry 1223G0001X 11557 GA

Addresses

Primary practice location

1530 Main St
Suite 17
Ramona, CA 92065-5244

Mailing address

1530 Main St
Suite 17
Ramona, CA 92065-5244
Phone (760) 789-8060

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150625002090 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6507177953

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451174400000",
    "number": "1770502874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 MAIN ST",
            "address_2": "SUITE 17",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920655244",
            "telephone_number": "760-789-8060",
            "fax_number": "760-789-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 MAIN ST",
            "address_2": "SUITE 17",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920655244",
            "telephone_number": "760-789-8060",
            "fax_number": "760-789-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESHAV",
        "first_name": "ROHIT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2015-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41740",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "11557",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramona, CA

Sources for this page

Verify at the official NPI Registry.