Individual provider Active NPI

Nori Khudeeda Khalaf, DDS

  • General Practice Dentistry
  • Lincoln, NE
National Provider Identifier
1245159425
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8250 Issued in NE
Practice address
2917 Pine Lake Rd
Lincoln, NE 68516-6032
Phone
(402) 466-9632
NPI assigned
Jul 13, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8250 NE Primary

Addresses

Primary practice location

2917 Pine Lake Rd
Lincoln, NE 68516-6032

Mailing address

5874 N 21St St
Lincoln, NE 68521-5066
Phone (402) 805-3728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1245159425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5874 N 21ST ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685215066",
            "telephone_number": "402-805-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 PINE LAKE RD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166032",
            "telephone_number": "402-466-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALAF",
        "first_name": "NORI",
        "middle_name": "KHUDEEDA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "8250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.