Keikhan and Ebrahimi Adc

Primary specialty

DentistTaxonomy code 122300000X

License

45124 Issued in CA

Legal business name

KEIKHAN AND EBRAHIMI ADC

Practice address

183 Blue Ravine Rd
Folsom, CA 95630-4704

Phone

(916) 983-8870

NPI assigned

Aug 20, 2007

Last updated

Mar 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kathy Keikhan, DDS

Title

President

Phone

(916) 983-8870

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1841483260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 BLUE RAVINE RD",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304704",
            "telephone_number": "916-983-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 BLUE RAVINE RD",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304704",
            "telephone_number": "916-983-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEIKHAN AND EBRAHIMI ADC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "KEIKHAN",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-983-8870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Rader Keane, DPT
• Brittany Kearney, RD
• Kyle James Kearney, LPCC
• Tess Keehn, L.M.F.T.
• Hailee Madison Keeler
• Kathy Keikhan Ebrahimi, DDS
• Robert Kelleher, DDS
• Tori Kelley
• Bernadette Ann Kelly, MD
• Catherine Jameson Lee Kelly

• Dentist in Folsom, CA
• Providers in Folsom, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.