Dena M Khoury, DDS, MSD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2901020886 Issued in MI

Practice address

2500 Court St
Syracuse, NY 13208-1935

Phone

(810) 987-1400

NPI assigned

May 28, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Cny Periodontics and Implants, LLC

  • Periodontics
  • Syracuse, NY
  • NPI 1659932671
  NPD Authorized official

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1255599155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 COURT ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132081935",
            "telephone_number": "315-455-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 COURT ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132081935",
            "telephone_number": "810-987-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURY",
        "first_name": "DENA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901020886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prerna Ashok Kherajani, MBBS
• Arman Khorasani-Zadeh, MD
• Arshia Khorasani-Zadeh
• Evelyne Khoriaty, M.D.
• Parisa Khoshpouri, MD
• Nadine Khouzam, MD
• Bann Rami Khalil Khraisat, MD
• Kamal Khurana, MD
• Kristina Khurshudian, OTR
• Dara Renee Kibby X, REGISTERED NURSE

• Periodontics in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.