Active NPI
Elham Kheirkhahi DDS MSD Inc
- Periodontics
- Rancho Mirage, CA
National Provider Identifier
1992614739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- Legal business name
- ELHAM KHEIRKHAHI DDS MSD INC
- Practice address
- 72780 Country Club Dr Ste 402
Rancho Mirage, CA 92270-4149 - Phone
- (760) 836-1809
- NPI assigned
- Sep 7, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michaela Muniz
- Title
- VP, Payor Relations
- Phone
- (469) 324-3242
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | Primary |
Addresses
Primary practice location
72780 Country Club Dr Ste 402
Rancho Mirage, CA 92270-4149
Mailing address
72780 Country Club Dr Ste 402
Rancho Mirage, CA 92270-4149
Phone (760) 836-1809
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Dentist
- Rancho Mirage, CA
- NPI 1053455923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788739200000",
"number": "1992614739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72780 COUNTRY CLUB DR STE 402",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922704149",
"telephone_number": "760-836-1809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72780 COUNTRY CLUB DR STE 402",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922704149",
"telephone_number": "760-836-1809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELHAM KHEIRKHAHI DDS MSD INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-07",
"last_updated": "2026-09-07",
"certification_date": "2026-09-06",
"status": "A",
"authorized_official_last_name": "MUNIZ",
"authorized_official_first_name": "MICHAELA",
"authorized_official_title_or_position": "VP, PAYOR RELATIONS",
"authorized_official_telephone_number": "469-324-3242"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": null,
"license": null,
"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 Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.