Vivian Sami Khoury, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58829 Issued in CA

Practice address

341 Westlake Ctr Ste 330
Daly City, CA 94015-1443

Phone

(650) 758-4632

Fax

(650) 758-4565

NPI assigned

Sep 14, 2009

Sex

Female

Sole proprietor

Yes

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 CA

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

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1114250735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 WESTLAKE CTR STE 330",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151443",
            "telephone_number": "650-758-4632",
            "fax_number": "650-758-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 WESTLAKE CTR STE 330",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151443",
            "telephone_number": "650-758-4632",
            "fax_number": "650-758-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURY",
        "first_name": "VIVIAN",
        "middle_name": "SAMI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaista Khanoon
• Ye Khant
• Nirmal Kharel, MD
• Isam Hanna Khoury, D.M.D.
• Mona Khoury
• Anadelia B Kim, NP
• Esther Jin Kim, M.D.
• Han Seong Kim, D.C.
• Jennifer Wiley Kim
• Rachel Kim, PH.D

• General Practice Dentistry in Daly City, CA
• Providers in Daly City, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.