Samir K Khalil, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

042165-1 Issued in NY

Practice address

2749 W Ridge Rd
Rochester, NY 14626-3038

Phone

(585) 434-2090

Fax

(585) 413-3295

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• SKK Dental PLLC Dba Liberty Dental Arts

  • Dentist
  • Rochester, NY
  • NPI 1497295679
  NPD Authorized official

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063500148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2749 W RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263038",
            "telephone_number": "585-434-2090",
            "fax_number": "585-413-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2749 W RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263038",
            "telephone_number": "585-434-2090",
            "fax_number": "585-413-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "SAMIR",
        "middle_name": "K",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2022-07-21",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "042165-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shireen M Khaled, MD
• Abrahim Khaleghi, DMD
• Muhammad Umar Khalid, M.D.
• Nida Khalid, MD
• Yousuf Khalifa, M.D.
• Yousuf Khalil, DO
• Khan Pharmacy Inc
• Aameera Ahmed Khan, MD
• Adila Khan, DMD
• Aleena Khan

• Dentist in Rochester, NY
• Providers in Rochester, NY by specialty
• Dentist in New York

• 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.