Nicholas Nadiem Khoury, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

62407 Issued in CA

Practice address

415 W Standley St
Ukiah, CA 95482-4347

Phone

(707) 462-2170

Fax

(707) 462-1953

NPI assigned

Aug 18, 2013

Last updated

Sep 4, 2015By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1376784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1134552714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W STANDLEY ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824347",
            "telephone_number": "707-462-2170",
            "fax_number": "707-462-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W STANDLEY ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824347",
            "telephone_number": "707-462-2170",
            "fax_number": "707-462-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURY",
        "first_name": "NICHOLAS",
        "middle_name": "NADIEM",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-18",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trilby Blythe Tuesday Kerrigan, LCSW
• Jeff Kessner, MA
• Gary R Keszler, D.D.S., M.S.
• Madiha Khan, RPH
• Toufiq Khan, DO
• Lynn Marie Kile
• Thomas Eugene Kilkenny Jr., MD
• Thomas Killebrew
• Jiyoung Kim, R.PH.
• Sang Min Kim

• General Practice Dentistry in Ukiah, CA
• Providers in Ukiah, 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 4, 2015; 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.