Neda Courtney Khodai, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46274 Issued in CA

Practice address

62 Corporate Park Ste 220
Irvine, CA 92606-3130

Phone

(949) 553-1111

NPI assigned

Nov 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003993882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 CORPORATE PARK STE 220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926063130",
            "telephone_number": "949-553-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 CORPORATE PARK STE 220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926063130",
            "telephone_number": "949-553-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHODAI",
        "first_name": "NEDA",
        "middle_name": "COURTNEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Melvin Khaw, DMD
• Thaer Eid Khdeir
• Elena Khegay
• Jasmine Marrie Khoan
• Mehrdad Khodadoostan, MD
• Reza Khodaverdian, M.D.
• Elani Kietheang Khoe
• Niloufar Khorasanifar
• Afagh Khorashadi, M.D.
• Kiana Khoshnevis

• General Practice Dentistry in Irvine, CA
• Providers in Irvine, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.