Active NPI
Ahmed Khocht, DDS
- Periodontics
- Loma Linda, CA
National Provider Identifier
1083669808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 63142
- Practice address
- Loma Linda University School of Dentistry
11092 Anderson St
Loma Linda, CA 92350-0001 - Phone
- (909) 558-4643
- Fax
- (909) 558-7959
- NPI assigned
- May 23, 2006
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 63142 | CA | Primary |
Addresses
Primary practice location
Loma Linda University School of Dentistry
11092 Anderson St
Loma Linda, CA 92350-0001
Mailing address
26630 Barton Rd
Apt 2713
Redlands, CA 92373-4323
Phone (706) 631-5680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418083200000",
"number": "1083669808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26630 BARTON RD",
"address_2": "APT 2713",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734323",
"telephone_number": "706-631-5680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LOMA LINDA UNIVERSITY SCHOOL OF DENTISTRY",
"address_2": "11092 ANDERSON ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923500001",
"telephone_number": "909-558-4643",
"fax_number": "909-558-7959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOCHT",
"first_name": "AHMED",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2014-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "63142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.