Robert Keshishian Hezarjeribi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

106677 Issued in CA

Practice address

1520 E Lincoln Ave
Anaheim, CA 92805-2261

Phone

(818) 291-3853

NPI assigned

Dec 15, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1811656994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 W KENNETH RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011424",
            "telephone_number": "818-291-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 E LINCOLN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928052261",
            "telephone_number": "818-291-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESHISHIAN HEZARJERIBI",
        "first_name": "ROBERT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106677",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011601",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401417699",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kernel University
• James Kerrigan
• Mary Therese Kerrigan, M.D
• David B. Keschner, MD
• Keshishian Dental Inc a Professional Dental Corporation
• Mary Laura Kesterson
• Roberta Chin Keung, MPH, CGC
• Kevin J Fortier DDS & Thuy T Fortier DDS Inc
• Kevin M Huang DMD Inc., a Professional Dental Corporation
• Shima Keyhani-Manesh

• General Practice Dentistry in Anaheim, CA
• Providers in Anaheim, 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 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.