Maha Khaden, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019.033161 Issued in IL

Practice address

9327 Skokie Blvd Unit C
Skokie, IL 60077-1310

Phone

(847) 227-8277

NPI assigned

Jun 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Locations

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.

• Humzavis Dental

  • Dental Clinic/Center
  • Skokie, IL
  • NPI 1700412384
  NPD

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1255900437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 ARCHBURY LN APT 1C",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683672",
            "telephone_number": "847-877-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9327 SKOKIE BLVD UNIT C",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771310",
            "telephone_number": "847-227-8277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2316 W Madison St # 2228",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606122228",
            "country_code": "US",
            "telephone_number": "312-491-0601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHADEN",
        "first_name": "MAHA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.033161",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.033161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keshet
• Benjamin Kessler
• David Lawrence Kessler, MA
• Joanne Simon Kestnbaum, LCSW
• Amanda Gwen Ketterer, PHARM.D.
• Isha Khalil
• Asif Khan
• Imad Ali Khan, DO
• Madiha Khan
• Mohammed Abdul-Rahman Khan, MD

• Dentist in Skokie, IL
• Providers in Skokie, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.