Bahman Sanikhatam, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS024444L Issued in PA

Practice address

125 W City Ave
Bala Cynwyd, PA 19004-3103

Phone

(610) 667-7171

Fax

(610) 667-5121

NPI assigned

Jul 15, 2010

Sex

Male

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.

• Sani Khatam & Anderson PC

  • Dentist
  • Bala Cynwyd, PA
  • NPI 1174680961
  NPD (past) Authorized official

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1265745681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W CITY AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043103",
            "telephone_number": "610-667-7171",
            "fax_number": "610-667-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W CITY AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043103",
            "telephone_number": "610-667-7171",
            "fax_number": "610-667-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANIKHATAM",
        "first_name": "BAHMAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS024444L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farida Elizabeth Saleem, MS, LMFT
• Chelsea Rose Saltzman, RD
• Sandra M. Mack
• Cheryl L Sanfacon, M.D.
• Sani Khatam & Anderson PC
• Maritza Santiago
• Lynn J Santilli
• Dawn Star Sarahs-Borchelt
• Trevor Sasek, MS, LPC
• Miriam Satz, LMSW

• General Practice Dentistry in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.