ARDALAN KESHTKAR DDS INC (NPI# 1518510643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518510643 |
| Entity Type | Organization |
| Organization Name | ARDALAN KESHTKAR DDS INC |
| Practice Address |
10 Sierra Gate Plz Ste 130 Roseville CA 95678-6646 |
| Mailing Address |
Po Box 2202 Orangevale CA 95662-7432 |
| Practice Telephone | 9168720617 |
| Mailing Telephone | 9169153390 |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-10-30 |
| Authorized Official Name | DR. ARDALAN KESHTKAR (DENTIST) |
| Authorized Official Telephone | 9169153390 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SIERRA GATE FAMILY DENTAL | Other Name - Individual/Organization |
| Street Address |
10 SIERRA GATE PLZ STE 130 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95678-6646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
| 1396378980 | David F Shirley M D P C | Family Medicine | 4001 Impala Circle, Roseville, CA 95678 | 2020-02-21 |
| 1083256051 | Rosemary Ellen Robben | Community Health Worker | Cirby Wellness Center 101 Cirby Hills Drive, Roseville, CA 95678 | 2019-10-11 |
| 1588217236 | Kaiser Foundation Health Plan Inc | Pharmacy | 1021 Riverside Ave, Roseville, CA 95678 | 2019-07-22 |
| 1174093793 | Neftali Hernandez | Behavior Technician | 1100 Roseville Parkway Apt 1021, Roseville, CA 95678 | 2018-11-26 |
| 1467951798 | Amarantha Martinez | Behavior Technician | 1900 Quail Ridge Road, #99, Roseville, CA 95678 | 2018-02-01 |
| 1093231276 | Compassionate Home Health, Ltd | Home Health | 1100 Melody Lane, Suite 106, Roseville, CA 95678 | 2017-08-18 |
| 1629598891 | Jimena Andrade Martins | Behavior Technician | 602 Atkinson Street, Roseville, CA 95678 | 2017-06-20 |
| 1891221057 | Zride Inc | Taxi | 106 Church Street, Suite 2, Roseville, CA 95678 | 2017-05-10 |
| 1568997641 | Joline Trinh | Pharmacist | 1030 Pleasant Grove Boulevard, Roseville, CA 95678 | 2017-04-26 |
| Find all providers in zip 95678 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935916 | Michael J. Petersen, D.d.s., P.a. | Clinic/Center | 3101 Old Highway 8 Ste 303, Roseville, MN 55113-1076 | 2020-06-05 |
| 1346873288 | Van De Vyver Dental, P.C. | Clinic/Center | 25810 Kelly Rd Ste 2, Roseville, MI 48066-4467 | 2020-02-19 |
| 1659880805 | Gurkamal Sandhu Dds, Inc. | Clinic/Center | 1895 E Roseville Pkwy Ste 100, Roseville, CA 95661-7977 | 2017-09-20 |
| 1457875809 | Khs Pannu Dds Inc | Clinic/Center | 1950 Douglas Blvd Ste B1, Roseville, CA 95661-3827 | 2017-07-27 |
| 1801248950 | Baban Dhariwal Dds Pa Inc | Clinic/Center | 6049 Douglas Blvd Ste 9, Roseville, CA 95746-6249 | 2016-07-12 |
| 1972610046 | Donald E. Clarke, D.d.s., Inc. | Clinic/Center | 2200 Professional Dr, Suite 210, Roseville, CA 95661-7763 | 2006-08-24 |
| 1497352363 | David A. Susko, Dds | Clinic/Center | 20737 E 13 Mile Rd, Roseville, MI 48066-4503 | 2020-10-05 |
| 1396385175 | Bosch Dental Pllc | Clinic/Center | 2680 Snelling Ave N, Roseville, MN 55113-1876 | 2020-01-09 |
| 1790320265 | Richard B Knight Dds Ms Inc | Clinic/Center | 2520 Douglas Blvd Ste 130, Roseville, CA 95661-3993 | 2019-11-08 |
| 1245891829 | Dean N. Ahmad Dds Inc. | Clinic/Center | 580 N Sunrise Ave Ste 190, Roseville, CA 95661-3035 | 2019-06-25 |
| Find all providers in ROSEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.