Khalid Sadeddin, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31543 Issued in TX

Practice address

3811 W Highway 31
#801
Corsicana, TX 75110-9211

Phone

(903) 874-4867

NPI assigned

Oct 19, 2015

Last updated

Dec 14, 2015By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1235500018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 W HIGHWAY 31",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751109211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 W HIGHWAY 31",
            "address_2": "#801",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751109211",
            "telephone_number": "903-874-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADEDDIN",
        "first_name": "KHALID",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jacquelyn Necole Rush
• S. and M.S. LLC (Arc Hospice & Palliative Care)
• Stephanie Sanderson
• Kelly Sandoval, FNP-C
• Eneyine Ovezeyimi Sanni, PHARMD
• Joseph Edward Saucedo, DO
• Lori Michelle Saunders-Rodgers, MA CCC-SLP

• General Practice Dentistry in Corsicana, TX
• Providers in Corsicana, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.