Shana K Khamis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D010852 Issued in AZ

Practice address

2001 W Bethany Home Rd
Phoenix, AZ 85015-2471

Phone

(602) 249-9621

Fax

(602) 841-1916

NPI assigned

Aug 31, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• My Dental L.L.C.

  • General Practice Physician
  • Avondale, AZ
  • NPI 1831675263
  NPD (past)

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1255945002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9617 KENNETH AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761203",
            "telephone_number": "847-542-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W BETHANY HOME RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152471",
            "telephone_number": "602-249-9621",
            "fax_number": "602-841-1916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 N Central Ave Ste 109",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "AZ",
            "postal_code": "853231659",
            "country_code": "US",
            "telephone_number": "623-322-4575",
            "fax_number": "623-224-4312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAMIS",
        "first_name": "SHANA",
        "middle_name": "K",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D010852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiranjit Kaur Khalsa, MD
• Kunwar Khalsa, M.D.
• Sarab Saraswati Khalsa
• Sukhmani Khalsa
• Hasan Khamash, MD
• Madleen Khamisi
• Khan Care International
• Amatul Aziz Khan, MD
• Briana Khan, MD
• Farha N Khan, M.D.

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.