Active NPI
Sevan Saad Kejejian
- Dentist
- New York, NY
National Provider Identifier
1821774803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 112071
- Practice address
- 345 E. 24TH Street
New York, NY 10010 - Phone
- (212) 998-9800
- NPI assigned
- Jun 26, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 112071 | CA | Primary |
Addresses
Primary practice location
345 E. 24TH Street
New York, NY 10010
Mailing address
11352 Strathern St
Sun Valley, CA 91352-3940
Phone (747) 272-3092
Other practice location 1
520 W Palmdale Blvd Ste O
Palmdale, CA 93551-4230
Phone (661) 273-3600
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 |
|---|---|---|---|
| 112071 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1821774803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11352 STRATHERN ST",
"city": "SUN VALLEY",
"state": "CA",
"postal_code": "913523940",
"telephone_number": "747-272-3092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 E. 24TH STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10010",
"telephone_number": "212-998-9800"
}
],
"practiceLocations": [
{
"address_1": "520 W Palmdale Blvd Ste O",
"address_purpose": "LOCATION",
"city": "Palmdale",
"state": "CA",
"postal_code": "935514230",
"country_code": "US",
"telephone_number": "661-273-3600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEJEJIAN",
"first_name": "SEVAN",
"middle_name": "SAAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-26",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "112071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.