Wathiq Khamis DDS Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WATHIQ KHAMIS DDS DENTAL CORPORATION

Practice address

40625 Road 128
Cutler, CA 93615-2003

Phone

(559) 596-9231

NPI assigned

Aug 30, 2022

Last updated

Aug 30, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wathiq Khamis, DDSNPI 1699079418

Title

Owner

Phone

(831) 905-9070

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wathiq Ismail Khamis, DDS

  • General Practice Dentistry
  • Greenfield, CA
  • NPI 1699079418
  NPD Authorized official

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1194445155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2839 ISABEL AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116085",
            "telephone_number": "831-905-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40625 ROAD 128",
            "city": "CUTLER",
            "state": "CA",
            "postal_code": "936152003",
            "telephone_number": "559-596-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATHIQ KHAMIS DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "KHAMIS",
        "authorized_official_first_name": "WATHIQ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-905-9070",
        "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": []
}

• Jehva Martinez, FNP-C
• Gina Giau Ngoc Nguyen, PHARMD
• Maria Elena Patino, PPS
• Sequoia Healthcare Center
• James E Teela, DPM

• General Practice Dentistry in Cutler, CA
• Providers in Cutler, 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 30, 2022; 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.