NPIMap

Individual provider Active NPI

Vahid Khoshkam, DDS,MS

  • Periodontics
  • El Paso, TX
National Provider Identifier
1033638093
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
33514 Issued in TX
Practice address
5929 Cromo Dr Ste B
El Paso, TX 79912-5579
Phone
(915) 581-6688
NPI assigned
Sep 11, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 33514 TX Primary

Addresses

Primary practice location

5929 Cromo Dr Ste B
El Paso, TX 79912-5579

Mailing address

1500 Bob Hope Dr Apt 612
El Paso, TX 79936-1630
Phone (510) 705-2412

Other practice location 1

1500 Bob Hope Dr Apt 612
El Paso, TX 79936-1630
Phone (510) 705-2412

Other practice location 2

1788 N Zaragoza Rd
El Paso, TX 79936-7909
Phone (915) 849-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
33514TXMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Implant PLLC Periodontics Current Accepting new patients
Zaragoza Dental Care PLLC Past Accepting new patients
Oral Healthcare Consulting and Education PLLC General Practice PastSince Jan 4, 2026 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1033638093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 BOB HOPE DR APT 612",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799361630",
            "telephone_number": "510-705-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5929 CROMO DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125579",
            "telephone_number": "915-581-6688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Bob Hope Dr Apt 612",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799361630",
            "country_code": "US",
            "telephone_number": "510-705-2412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1788 N Zaragoza Rd",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799367909",
            "country_code": "US",
            "telephone_number": "915-849-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHOSHKAM",
        "first_name": "VAHID",
        "name_prefix": "Dr.",
        "credential": "DDS,MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "33514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.