Mojdeh Khalili, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401007490 Issued in VA

Practice address

3317 Duke St
Alexandria, VA 22314-4522

Phone

(703) 212-0400

NPI assigned

Jun 15, 2007

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Mojdeh Khalili, DDS, LTD.

  • General Practice Dentistry
  • Alexandria, VA
  • NPI 1497964183
  NPD (past) Authorized official

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184829699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 DUKE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144522",
            "telephone_number": "703-212-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 DUKE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144522",
            "telephone_number": "703-212-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALILI",
        "first_name": "MOJDEH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin M. Noall LLC
• Bashir Ahmad Khadim
• Sana Khadim
• Ramin Khajehafzaly, DC
• Noelle Khaligh, HIS
• Adnan S Khan, DO
• Basim Khan
• Izza Khan, DDS
• Sadia A Khan, MD
• Shawn S. Khan, PA-C

• General Practice Dentistry in Alexandria, VA
• Providers in Alexandria, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.