Active NPI
Bilal Hussain Khan
- Endodontics
- Richmond, VA
National Provider Identifier
1073175709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 0401417631
- Practice address
- 6750 Forest Hill Ave Ste a
Richmond, VA 23225-1802 - Phone
- (804) 272-7040
- NPI assigned
- Jul 2, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 0401417631 | VA | Primary |
Addresses
Primary practice location
6750 Forest Hill Ave Ste a
Richmond, VA 23225-1802
Mailing address
6750 Forest Hill Ave Ste a
Richmond, VA 23225-1802
Phone (804) 272-7040
Other practice location 1
3904 Hull Street Rd Ste A
Richmond, VA 23224-1714
Phone (804) 233-0007
Other practice location 2
635 Albany St
Boston, MA 02118-3550
Phone (617) 358-8300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190726001449 | CT | Order and Referring Only - Dentist | 1153657226 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401417631 | VA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Dental of Virginia, LLC | 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.
-
- General Practice Dentistry
- Richmond, VA
- NPI 1124392451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719705600000",
"number": "1073175709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6750 FOREST HILL AVE STE A",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232251802",
"telephone_number": "804-272-7040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6750 FOREST HILL AVE STE A",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232251802",
"telephone_number": "804-272-7040"
}
],
"practiceLocations": [
{
"address_1": "3904 Hull Street Rd Ste A",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232241714",
"country_code": "US",
"telephone_number": "804-233-0007",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "635 Albany St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021183550",
"country_code": "US",
"telephone_number": "617-358-8300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "BILAL",
"middle_name": "HUSSAIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-02",
"last_updated": "2024-06-30",
"certification_date": "2024-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "VA",
"license": "0401417631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2024; 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.