Michael Alan Kahn, D.D.S.

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

20500 Issued in MA

Practice address

2701 N. Decatur Rd.
Decatur, GA 30033-5918

Phone

(404) 501-7445

Fax

(404) 501-7460

NPI assigned

Jul 8, 2005

Last updated

Nov 19, 2015By the provider in NPPES

Sex

Male

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 MA

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trustees of Tufts College

  dba Tufts University School of Dental Medicine

  • Dental Clinic/Center
  • Boston, MA
  • NPI 1356559371
  Medicare reassignment NPD
• Trustees of Tufts College

  dba Tufts Craniofacial Pain Center

  • Dental Clinic/Center
  • Boston, MA
  • NPI 1790955318
  NPD
• Trustees of Tufts College

  dba Tufts Oral Pathology Services

  • Clinical Medical Laboratory
  • Boston, MA
  • NPI 1801938014
  NPD (past)

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1023016748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 N. DECATUR RD.",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335918",
            "telephone_number": "404-501-7445",
            "fax_number": "404-501-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N. DECATUR RD.",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335918",
            "telephone_number": "404-501-7445",
            "fax_number": "404-501-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "MA",
            "license": "20500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yma Kabia-Williams, LCSW
• Erika Laibson Kabu
• Andro George Kacharava, MD,PHD
• Sara Kacinko, LCSW
• Kena E Kadima, PHARMD, RPH
• Neil Andrew Kahn, M.D.
• Kaiser Foundation Health Plan of Georgia, Inc. (Kaiser Permanente Decatur Pharmacy)
• Kaiser Permanente
• Jerry Kalangara, M.D.
• Joshua Dylan Kalman

• Oral and Maxillofacial Pathology Dentistry in Decatur, GA
• Providers in Decatur, GA by specialty
• Oral and Maxillofacial Pathology Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.