KATHY KEIKHAN EBRAHIMI DDS
NPI 1013396811
Dentist in Folsom, CA

Active since May 26, 2015PECOS Enrolled
183 BLUE RAVINE RD, FOLSOM, CA 95630(916) 983-8870 Get Directions Write a Review

NPPES record last updated: May 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathy Keikhan Ebrahimi Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHY KEIKHAN EBRAHIMI DDS (NPI 1013396811) is an individual dentist in Folsom, California, licensed in California (45124) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013396811
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKATHY KEIKHAN EBRAHIMICredential: DDS
Location Address183 BLUE RAVINE RDFolsom, CA 95630-4704
Mailing Address183 Blue Ravine RdFolsom, CA 95630-4704 · (916) 983-8870
Sole ProprietorNo
Enumeration DateMay 26, 2015
Last NPPES UpdateMay 27, 2015
NPI 1013396811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 45124
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
183 BLUE RAVINE RD, Folsom, CA 95630

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kathy Keikhan Ebrahimi Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95630 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
183 BLUE RAVINE RD
FOLSOM, CA 95630
Dentist (General Practice)
183 BLUE RAVINE RD
FOLSOM, CA 95630
Dentist
183 BLUE RAVINE RD
FOLSOM, CA 95630
Dentist (General Practice)
183 BLUE RAVINE RD
FOLSOM, CA 95630
Dentist (General Practice)
183 BLUE RAVINE RD
FOLSOM, CA 95630
Dentist
183 BLUE RAVINE RD
FOLSOM, CA 95630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathy Keikhan Ebrahimi's NPI number?

The NPI number for Kathy Keikhan Ebrahimi is 1013396811. It was assigned to this individual provider in the NPPES registry on May 26, 2015.

Where is Kathy Keikhan Ebrahimi located?

Kathy Keikhan Ebrahimi practices at 183 Blue Ravine Rd, Folsom, CA 95630. The listed phone number is (916) 983-8870.

What is Kathy Keikhan Ebrahimi's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kathy Keikhan Ebrahimi enrolled in Medicare?

Yes. Kathy Keikhan Ebrahimi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathy Keikhan Ebrahimi was last updated on May 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.