Individual provider Active NPI

Amanjot Khara, DDS

  • General Practice Dentistry
  • Mechanicsville, VA
National Provider Identifier
1063524684
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401008652 Issued in VA
Practice address
6372 Mechanicsville Turnpike
Suite 106
Mechanicsville, VA 23111-7100
Phone
(804) 559-5808
Fax
(804) 559-9671
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401008652 VA Primary

Addresses

Primary practice location

6372 Mechanicsville Turnpike
Suite 106
Mechanicsville, VA 23111-7100

Mailing address

6372 Mechanicsville Turnpike
Suite 106
Mechanicsville, VA 23111
Phone (804) 559-5808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20160415001665 VA Order and Referring Only - DentistPractitioner - Dentist 5597063040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401008652VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Amanjot Khara, DDS, PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1063524684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6372 MECHANICSVILLE TURNPIKE",
            "address_2": "SUITE 106",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "23111",
            "telephone_number": "804-559-5808",
            "fax_number": "804-559-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6372 MECHANICSVILLE TURNPIKE",
            "address_2": "SUITE 106",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231117100",
            "telephone_number": "804-559-5808",
            "fax_number": "804-559-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHARA",
        "first_name": "AMANJOT",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401008652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.