JOHN S KISHIBAY DMD
NPI 1255425609
Dentist - Orthodontics and Dentofacial Orthopedics in Santa Monica, CA
About John S Kishibay Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN S KISHIBAY DMD (NPI 1255425609) is an individual orthodontics and dentofacial orthopedics provider in Santa Monica, California, licensed in California (27778) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John S Kishibay Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Kishibay reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
- 1,281 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANTA MONICA, CA 90405
SANTA MONICA, CA 90405
SANTA MONICA, CA 90405
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 John Kishibay's NPI number?
The NPI number for John Kishibay is 1255425609. It was assigned to this individual provider in the NPPES registry on October 2, 2006.
Where is John Kishibay located?
John Kishibay practices at 2601 Ocean Park Blvd 304, Santa Monica, CA 90405. The listed phone number is (310) 581-5757.
What is John Kishibay's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.
Is John Kishibay enrolled in Medicare?
Yes. John Kishibay is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Kishibay's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Kishibay reassigns Medicare benefits to Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Kishibay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Kishibay accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list John Kishibay as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for John Kishibay was last updated on December 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.