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DR. KOUROSH KEIKHANZADEH D.D.S., M.D.SC
NPI 1417154642
Dentist - Endodontics in Encino, CA

Active since June 29, 2007PECOS Enrolled
16661 VENTURA BLVD, SUITE #609, ENCINO, CA 91436(818) 344-3559 Get Directions Write a Review

NPPES record last updated: October 22, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kourosh Keikhanzadeh D.d.s., M.d.sc NPPES

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

DR. KOUROSH KEIKHANZADEH D.D.S., M.D.SC (NPI 1417154642) is an individual endodontics provider in Encino, California, licensed in California (53806) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417154642
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. KOUROSH KEIKHANZADEHCredential: D.D.S., M.D.SC
Location Address16661 VENTURA BLVD, SUITE #609Encino, CA 91436-1914
Mailing Address16661 Ventura Blvd, Suite #609Encino, CA 91436-1914 · (818) 344-3559
Phone(818) 344-3559
Sole ProprietorNo
Enumeration DateJune 29, 2007
Last NPPES UpdateOctober 22, 2015
✔ NPI 1417154642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in CA · 53806
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
16661 VENTURA BLVD, Encino, CA 91436
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kourosh Keikhanzadeh D.d.s., M.d.sc 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 91436 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 20

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

MONA TABIB MD INC
Family Medicine (Adult Medicine)
16661 VENTURA BLVD, SUITE 211
ENCINO, CA 91436
Los Angeles County (818) 789-7893
DR. NANOTCHKA M. CHUMLEY D.O., M.P.H.
Family Medicine
16661 VENTURA BLVD
ENCINO, CA 91436
Los Angeles County (818) 808-2828
DR. DAVID JOHN LOPATA PH.D.
Psychologist (Clinical)
16661 VENTURA BLVD, STE.409
ENCINO, CA 91436
Los Angeles County (818) 788-4303
FATEMEH SAIDI PSYD.
Marriage & Family Therapist
16661 VENTURA BLVD, SUITE 520
ENCINO, CA 91436
Los Angeles County (818) 986-1199
EHSAN DAYANIM ACUPUNCTURIST INC.
Acupuncturist
16661 VENTURA BLVD
ENCINO, CA 91436
Los Angeles County (818) 981-6132
B. DAVID MASSABAND DPM INC
Podiatrist (Foot & Ankle Surgery)
16661 VENTURA BLVD, SUITE 705
ENCINO, CA 91436
Los Angeles County (310) 657-2828
CLINICAL CONSULTANTS, INC
Psychologist (Clinical)
16661 VENTURA BLVD, SUITE 311
ENCINO, CA 91436
Los Angeles County (818) 783-9930
PARVIN JAHANPANAH LMFT
Marriage & Family Therapist
16661 VENTURA BLVD
ENCINO, CA 91436
Los Angeles County (818) 445-7574

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 Kourosh Keikhanzadeh's NPI number?

The NPI number for Kourosh Keikhanzadeh is 1417154642. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Kourosh Keikhanzadeh located?

Kourosh Keikhanzadeh practices at 16661 Ventura Blvd Suite #609, Encino, CA 91436. The listed phone number is (818) 344-3559.

What is Kourosh Keikhanzadeh's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Kourosh Keikhanzadeh enrolled in Medicare?

Yes. Kourosh Keikhanzadeh is registered in the Medicare PECOS enrollment system.

What insurance does Kourosh Keikhanzadeh accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kourosh Keikhanzadeh 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 Kourosh Keikhanzadeh was last updated on October 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.