Individual provider Active NPI

Parveen Anwar Khan, DDS

  • General Practice Dentistry
  • Santa Barbara, CA
National Provider Identifier
1245481001
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54363 Issued in CA
Practice address
38 S la Cumbre Rd Ste 3
Santa Barbara, CA 93105-6132
Phone
(805) 683-6771
Fax
(805) 617-3365
NPI assigned
Oct 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 54363 CA
General Practice Dentistry 1223G0001X 54363 CA Primary

Addresses

Primary practice location

38 S la Cumbre Rd Ste 3
Santa Barbara, CA 93105-6132

Mailing address

38 S la Cumbre Rd Ste 3
Santa Barbara, CA 93105-6132
Phone (805) 683-6771

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

State licenses

LicenseStateTypeSpecialty
54363CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1245481001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 S LA CUMBRE RD STE 3",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931056132",
            "telephone_number": "805-683-6771",
            "fax_number": "805-617-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 S LA CUMBRE RD STE 3",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931056132",
            "telephone_number": "805-683-6771",
            "fax_number": "805-617-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "PARVEEN",
        "middle_name": "ANWAR",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54363",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.