Organization Active NPI

Mohammed I Khan DDS PC

Doing business as Hunter's Creek Dental

  • Dentist
  • Orlando, FL
National Provider Identifier
1104520154
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MOHAMMED I KHAN DDS PC
Doing business as
Hunter's Creek Dental
Practice address
3924 Town Ctr Blvd
Orlando, FL 32837-6103
Phone
(407) 240-1500
Fax
(407) 240-6922
NPI assigned
Mar 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Mohammed Khan, DDS
Title
Dentist/Owner
Phone
(407) 240-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3924 Town Ctr Blvd
Orlando, FL 32837-6103

Mailing address

3924 Town Ctr Blvd
Orlando, FL 32837-6103
Phone (407) 240-1500

Other names 1

  • Hunter's Creek Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3924 W Town Center Blvd
Orlando, FL 32837
Phone (407) 240-1500

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1104520154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924 TOWN CTR BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376103",
            "telephone_number": "407-240-1500",
            "fax_number": "407-240-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 TOWN CTR BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376103",
            "telephone_number": "407-240-1500",
            "fax_number": "407-240-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMED I KHAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "407-240-1500",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hunter's Creek Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.