NPIMap

Organization Active NPI

TK Dental PLLC

  • Dental Clinic/Center
  • Methuen, MA
National Provider Identifier
1245021195
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TK DENTAL PLLC
Practice address
100 Milk St Ste 120
Methuen, MA 01844-4600
Phone
(978) 688-4441
NPI assigned
May 13, 2025
Last updated
May 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Tanya Khawam, DMDNPI 1093350423
Title
Dentist Owner
Phone
(806) 516-6738

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

100 Milk St Ste 120
Methuen, MA 01844-4600

Mailing address

100 Milk St Ste 120
Methuen, MA 01844-4600
Phone (978) 688-4441

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1245021195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MILK ST STE 120",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444600",
            "telephone_number": "978-688-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MILK ST STE 120",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444600",
            "telephone_number": "978-688-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TK DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "KHAWAM",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "806-516-6738",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

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