Safeera Khan, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40366 Issued in TX

Practice address

681 S Main St Ste 300
Keller, TX 76248-7036

Phone

(682) 253-3148

NPI assigned

Jun 13, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1235869397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MAIN ST UNIT 2209",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750773337",
            "telephone_number": "630-457-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 S MAIN ST STE 300",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762487036",
            "telephone_number": "682-253-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SAFEERA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "40366",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.033739",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Archer MD PA
• Sara Kercho
• Kevin J Kallal MD PA
• Kfcapa
• Abu Baker Azeem Khan, PHARMD
• Liza Abigail Copuyoc Khou, OTR
• Khadijah Kidd
• Patrick William Kiely, D.C.
• Daniel Kim, PH.D.
• Hyojin Kim, D.D.S

• General Practice Dentistry in Keller, TX
• Providers in Keller, 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 Aug 1, 2024; 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.