Active NPI
Zeenat Khan, BDS, MS
- Dentist
- Los Banos, CA
National Provider Identifier
1184250342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 104841
- Practice address
- 725 W I St
Los Banos, CA 93635-3478 - Phone
- (209) 826-1094
- NPI assigned
- Mar 19, 2020
- Last updated
- Mar 19, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 104841 | CA | Primary |
Addresses
Primary practice location
725 W I St
Los Banos, CA 93635-3478
Mailing address
737 W Childs Ave
Merced, CA 95341-6805
Phone (209) 384-6481
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Valley Health Center | Past | Accepting new patients | |
| Golden Valley Health Centers | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Los Banos, CA
- NPI 1508840562
-
- General Practice Dentistry
- Los Banos, CA
- NPI 1649483306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1184250342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 W CHILDS AVE",
"city": "MERCED",
"state": "CA",
"postal_code": "953416805",
"telephone_number": "209-384-6481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 W I ST",
"city": "LOS BANOS",
"state": "CA",
"postal_code": "936353478",
"telephone_number": "209-826-1094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "ZEENAT",
"credential": "BDS, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-19",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "104841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Banos, CA
- KD Medical Group Inc (Foot & Ankle Podiatric & Orthopedic Care)
- KD Medical Group Inc (Padres Medical Imaging,Inc.)
- Thomas Vernon Keller, D.C
- Savuth Kem, PA C
- Donald Kettyls, MD
- Santosh Khanal, MBBS
- Daniel Koh, CHW
- Mukhtar Kohistani, FNP-C
- Pratap S Kurra, MD
- Lags Spine and Sportscare Medical Centers, Inc. (Lags Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.