Active NPI
Rishi Raj Khanna, D.M.D
- General Practice Dentistry
- Sugar Land, TX
National Provider Identifier
1134323587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 24730
- Practice address
- 4645 Sweetwater Blvd Ste 300
Sugar Land, TX 77479-3016 - Phone
- (857) 540-1642
- NPI assigned
- Jun 11, 2007
- Sex
- Male
- 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 | 24730 | TX | Primary |
Addresses
Primary practice location
4645 Sweetwater Blvd Ste 300
Sugar Land, TX 77479-3016
Mailing address
4645 Sweetwater Blvd Ste 300
Sugar Land, TX 77479-3016
Phone (857) 540-1642
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24730 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405296000000",
"number": "1134323587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4645 SWEETWATER BLVD STE 300",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774793016",
"telephone_number": "857-540-1642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4645 SWEETWATER BLVD STE 300",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774793016",
"telephone_number": "857-540-1642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHANNA",
"first_name": "RISHI",
"middle_name": "RAJ",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-11",
"last_updated": "2014-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "24730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.