=====================================================
General NPI Number Information
=====================================================
NPI Number | 1003774076
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | REUBEN JOHNSON DDS & ANKIT KESHAV DDS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/09/2026
-----------------------------------------------------
Last Update Date | 01/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 180 NEWPORT CENTER DR STE 240
-----------------------------------------------------
City | NEWPORT BEACH
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92660-0906
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 949-729-2200
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 180 NEWPORT CENTER DR STE 240
-----------------------------------------------------
City | NEWPORT BEACH
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92660-0906
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ENDODONTIST/OWNER
-----------------------------------------------------
Name | ANKIT KESHAV
-----------------------------------------------------
Credential | DDS
-----------------------------------------------------
Telephone | 949-951-1833
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223E0200X
-----------------------------------------------------
Taxonomy Name | Endodontics
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------