Organization Active NPI

Nadeem M Khan

  • Pediatric Dentistry
  • Monroe, MI
National Provider Identifier
1184424897
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
NADEEM M KHAN
Doing business as
Monroe Pediatric Dental Care Inc
Practice address
2353 S Custer Rd Ste 1
Monroe, MI 48161-5047
Phone
(734) 430-9133
NPI assigned
Mar 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Authorized official

Name
Dr. Nadeem Khan, DDSNPI 1588610216
Title
Owner
Phone
(734) 430-9133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

2353 S Custer Rd Ste 1
Monroe, MI 48161-5047

Mailing address

2353 S Custer Rd Ste 1
Monroe, MI 48161-5047
Phone (734) 430-9133

Other names 1

  • Monroe Pediatric Dental Care Inc Doing business as

National Provider Directory

National Provider Directory

Locations

2353 S Custer Rd
Ste 1
Monroe, MI 48161
Phone (734) 241-4855

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1184424897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 S CUSTER RD STE 1",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481615047",
            "telephone_number": "734-430-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 S CUSTER RD STE 1",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481615047",
            "telephone_number": "734-430-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADEEM M KHAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "NADEEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-430-9133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroe Pediatric Dental Care Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.