Individual provider Active NPI

Nitin B Khankari, B.D.S., M.S.

  • Prosthodontics
  • Boston, MA
National Provider Identifier
1265644900
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
9190 Issued in MA
Practice address
1 Kneeland St FL 8
Tufts Dental Associates
Boston, MA 02111-1527
Phone
(617) 636-6678
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 9190 MA Primary

Addresses

Primary practice location

1 Kneeland St FL 8
Tufts Dental Associates
Boston, MA 02111-1527

Mailing address

100 Marina Dr Apt 102
Quincy, MA 02171-1532
Phone (617) 331-1858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20150716002307 MA Order and Referring Only - DentistPractitioner - Dentist 0648583831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
9190MAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265644900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MARINA DR APT 102",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021711532",
            "telephone_number": "617-331-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KNEELAND ST FL 8",
            "address_2": "TUFTS DENTAL ASSOCIATES",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111527",
            "telephone_number": "617-636-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANKARI",
        "first_name": "NITIN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "B.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "9190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.