Individual provider Active NPI

Tauseel Khan, DDS

  • Dentist
  • Sleepy Hollow, NY
National Provider Identifier
1255471389
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
048001 Issued in NY
Practice address
12 Merlin Ave
Sleepy Hollow, NY 10591-1607
Phone
(914) 262-7412
Fax
(914) 524-8536
NPI assigned
Feb 7, 2007
Last updated
Apr 10, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 048001 NY Primary

Addresses

Primary practice location

12 Merlin Ave
Sleepy Hollow, NY 10591-1607

Mailing address

12 Merlin Ave
Sleepy Hollow, NY 10591-1607
Phone (914) 262-7412

Other identifiers 1

IdentifierTypeStateIssuer
01421705MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160426000935 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5890094809

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048001NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Philipse Manor Dental Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239321600000",
    "number": "1255471389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MERLIN AVE",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911607",
            "telephone_number": "914-262-7412",
            "fax_number": "914-524-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MERLIN AVE",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911607",
            "telephone_number": "914-262-7412",
            "fax_number": "914-524-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "TAUSEEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2009-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "048001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01421705",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sleepy Hollow, NY

Sources for this page

Verify at the official NPI Registry.