Khouri Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KHOURI DENTAL GROUP

Doing business as

Advanced Dentistry by Design

Practice address

750 N Capitol Ave Ste A2
San Jose, CA 95133-1902

Phone

(408) 258-5054

NPI assigned

Aug 12, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Khouri, DDSNPI 1811411713

Title

Owner, Dentist

Phone

(408) 506-5083

Specialties & licenses 1

Addresses

Other names 1

• Advanced Dentistry by Design Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Khouri, DDS

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1811411713
  NPD Authorized official

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1174354005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 FOLIGNO WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951382226",
            "telephone_number": "408-506-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N CAPITOL AVE STE A2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951331902",
            "telephone_number": "408-258-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHOURI DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "KHOURI",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "408-506-5083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dentistry by Design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ayla Khoshaba
• Monica Khoshabian
• Niloufar Khoshzamir
• Anjana Khosla
• Vista S Khosravi, M.D.
• Michelle Khouri, DDS
• Laura Khoury, PH.D.
• Nicola Elias Khoury, DDS
• Angela Khov
• Khuong Chiropractic Corporation (East Valley Chiropractic)

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, 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 Aug 12, 2024; 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.