Shireen Khan, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

40852 Issued in TX

Practice address

235 S Preston Rd Ste 120
Celina, TX 75009-3419

Phone

(972) 382-7500

NPI assigned

Oct 15, 2015

Sex

Female

Sole proprietor

No

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

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sok Dental PLLC

  dba Marengo Pediatric Dentistry

  • Pediatric Dentistry
  • Celina, TX
  • NPI 1326936790
  NPD (past) Authorized official

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1083085062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 S PRESTON RD STE 120",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750093419",
            "telephone_number": "972-382-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S PRESTON RD STE 120",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750093419",
            "telephone_number": "972-382-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHIREEN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "40852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• K-12 Counseling LLC
• Mahsa Karavan Jahromi, MD
• Vicky Lynn Kerr
• Kevin L Skinner DC PC
• Mohammad Raza Khan, DPM
• Kind Aides
• Athena Elizabeth Kirby
• Misty Kopp, RN
• Krishna Pabba MD PLLC (Heart & Mind MD)
• Kacie Kubik, PHARM.D.

• Pediatric Dentistry in Celina, TX
• Providers in Celina, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.

Verify at the official NPI Registry.