Organization Active NPI

Neeshat Sohail Khan DDS

  • Dentist
  • San Jose, CA
National Provider Identifier
1003356304
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NEESHAT SOHAIL KHAN DDS
Practice address
20445 Prospect Rd
Ste 6
San Jose, CA 95129-4662
Phone
(408) 777-1290
NPI assigned
Mar 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Neeshat KhanNPI 1316194475
Title
Owner
Phone
(408) 777-1290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

20445 Prospect Rd
Ste 6
San Jose, CA 95129-4662

Mailing address

20445 Prospect Rd
Ste 6
San Jose, CA 95129-4662
Phone (408) 777-1290

National Provider Directory

National Provider Directory

Locations

20445 Prospect Rd
Ste 6
San Jose, CA 95129
Phone (408) 777-1290

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1003356304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20445 PROSPECT RD",
            "address_2": "STE 6",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951294662",
            "telephone_number": "408-777-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20445 PROSPECT RD",
            "address_2": "STE 6",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951294662",
            "telephone_number": "408-777-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEESHAT SOHAIL KHAN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "NEESHAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-777-1290"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.