Individual provider Active NPI

Khurram Ashraf Khan, BDS, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Cincinnati, OH
National Provider Identifier
1073755187
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
30-024373 Issued in OH
Practice address
7523 State Rd
Cincinnati, OH 45255-2438
Phone
(513) 232-8989
Fax
(513) 232-1405
NPI assigned
Apr 3, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 30-024373 OH Primary

Addresses

Primary practice location

7523 State Rd
Cincinnati, OH 45255-2438

Mailing address

7523 State Rd
Cincinnati, OH 45255-2438
Phone (513) 232-8989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20130611000271 IN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5496994170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-024373OHMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Cincinnati Center for Corrective Jaw Surgery Oral and Maxillofacial Surgery 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": "1238716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1073755187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7523 STATE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452552438",
            "telephone_number": "513-232-8989",
            "fax_number": "513-232-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7523 STATE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452552438",
            "telephone_number": "513-232-8989",
            "fax_number": "513-232-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "KHURRAM",
        "middle_name": "ASHRAF",
        "name_prefix": "Dr.",
        "credential": "BDS, DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-03",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30-024373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.