Individual provider Active NPI

Khalid R Jilani, DMD

  • Dentist
  • North Las Vegas, NV
National Provider Identifier
1124431200
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6504 Issued in NV
Practice address
2668 Las Vegas Blvd N Ste 101
North Las Vegas, NV 89030-5870
Phone
(702) 748-8244
Fax
(702) 997-1223
NPI assigned
Jun 6, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 64416 CA
Endodontics 1223E0200X 6504 NV
Periodontics 1223P0300X 6504 NV
Prosthodontics 1223P0700X 6504 NV
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 6504 NV
Dentist 122300000X 6504 NV Primary

Addresses

Primary practice location

2668 Las Vegas Blvd N Ste 101
North Las Vegas, NV 89030-5870

Mailing address

2668 Las Vegas Blvd N Ste 101
North Las Vegas, NV 89030-5870
Phone (702) 748-8244

Other identifiers 1

IdentifierTypeStateIssuer
100539380MedicaidNV

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

State licenses

LicenseStateTypeSpecialty
64416CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Khalid R Jilani DMD Limited Endodontics Current Accepting new patients

Locations

2668 N Las Vegas Blvd
Ste 101
North Las Vegas, NV 89030
Phone (702) 748-8244

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1124431200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2668 LAS VEGAS BLVD N STE 101",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890305870",
            "telephone_number": "702-748-8244",
            "fax_number": "702-997-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2668 LAS VEGAS BLVD N STE 101",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890305870",
            "telephone_number": "702-748-8244",
            "fax_number": "702-997-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JILANI",
        "first_name": "KHALID",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-06",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64416",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NV",
            "license": "6504",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NV",
            "license": "6504",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NV",
            "license": "6504",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NV",
            "license": "6504",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "6504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100539380",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.