Active NPI
Baljeet Kaur Khaira, DMD
- General Practice Dentistry
- Philadelphia, PA
National Provider Identifier
1174039739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS042170
- Practice address
- 1015 Chestnut St Ste 1117
Philadelphia, PA 19107 - Phone
- (215) 923-3999
- NPI assigned
- Dec 19, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS042170 | PA | |
| General Practice Dentistry | 1223G0001X | DS042170 | PA | Primary |
Addresses
Primary practice location
1015 Chestnut St Ste 1117
Philadelphia, PA 19107
Mailing address
1015 Chestnut St Ste 1117
Philadelphia, PA 19107-4334
Phone (215) 923-3999
Other practice location 1
5501 Old York Rd
Philadelphia, PA 19141-3018
Phone (215) 456-7890
Other practice location 2
706 Dekalb Pike
Blue Bell, PA 19422-1214
Phone (610) 272-0828
Other practice location 3
1608 Walnut St Ste 1100
Philadelphia, PA 19103-5451
Phone (215) 545-0400
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 |
|---|---|---|---|
| DS042170 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quaker City Dental | Past | Accepting new patients | |
| Todd a Fleischman DMD & Associates PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Philadelphia, PA
- NPI 1396269528
-
- Dental Clinic/Center
- Philadelphia, PA
- NPI 1629960323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699574400000",
"number": "1174039739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 CHESTNUT ST STE 1117",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074334",
"telephone_number": "215-923-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 CHESTNUT ST STE 1117",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19107",
"telephone_number": "215-923-3999"
}
],
"practiceLocations": [
{
"address_1": "5501 Old York Rd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191413018",
"country_code": "US",
"telephone_number": "215-456-7890",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "706 Dekalb Pike",
"address_purpose": "LOCATION",
"city": "Blue Bell",
"state": "PA",
"postal_code": "194221214",
"country_code": "US",
"telephone_number": "610-272-0828",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1608 Walnut St Ste 1100",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191035451",
"country_code": "US",
"telephone_number": "215-545-0400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAIRA",
"first_name": "BALJEET",
"middle_name": "KAUR",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-19",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS042170",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS042170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.