Active NPI
Sharmin Hasnat Khan, DDS
- General Practice Dentistry
- Austin, TX
National Provider Identifier
1104133610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 25557
- Practice address
- 825 E Rundberg LN
Suite a-1
Austin, TX 78753-4808 - Phone
- (512) 837-0200
- NPI assigned
- Sep 3, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 25557 | TX | Primary |
Addresses
Primary practice location
825 E Rundberg LN
Suite a-1
Austin, TX 78753-4808
Mailing address
1200 W Walnut Hill LN
Suite 3950
Irving, TX 75038-3029
Phone (972) 514-1672
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20160705000749 | TX | Order and Referring Only - Oral Surgery | 1153613526 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25557 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466985600000",
"number": "1104133610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 W WALNUT HILL LN",
"address_2": "SUITE 3950",
"city": "IRVING",
"state": "TX",
"postal_code": "750383029",
"telephone_number": "972-514-1672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 E RUNDBERG LN",
"address_2": "SUITE A-1",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787534808",
"telephone_number": "512-837-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "SHARMIN",
"middle_name": "HASNAT",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-03",
"last_updated": "2016-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "25557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.