Individual provider Active NPI

Isma Khalid

  • Pediatric Dentistry
  • Houston, TX
National Provider Identifier
1265919286
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
36887 Issued in TX
Practice address
6729 Airline Dr
Houston, TX 77076-3522
Phone
(713) 325-5189
NPI assigned
Jul 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 016.0133977 VT
Pediatric Dentistry 1223P0221X 36887 TX Primary

Addresses

Primary practice location

6729 Airline Dr
Houston, TX 77076-3522

Mailing address

36 Thomas Indian School Drive
Irving, NY 14081-9300
Phone (716) 532-5582

Other practice location 1

36 Thomas Indian School Drive
Irving, NY 14081-9300
Phone (716) 532-5582

Other practice location 2

987 R C Hoag Drive
Salamanca, NY 14779-1365
Phone (716) 945-5894

Other names 1

  • Dr. Isma Khalid Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36887TXMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1265919286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 THOMAS INDIAN SCHOOL DRIVE",
            "city": "IRVING",
            "state": "NY",
            "postal_code": "140819300",
            "telephone_number": "716-532-5582",
            "fax_number": "716-242-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6729 AIRLINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770763522",
            "telephone_number": "713-325-5189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 Thomas Indian School Drive",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "NY",
            "postal_code": "140819300",
            "country_code": "US",
            "telephone_number": "716-532-5582",
            "fax_number": "716-242-6344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "987 R C Hoag Drive",
            "address_purpose": "LOCATION",
            "city": "Salamanca",
            "state": "NY",
            "postal_code": "147791365",
            "country_code": "US",
            "telephone_number": "716-945-5894",
            "fax_number": "716-242-6345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALID",
        "first_name": "ISMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VT",
            "license": "016.0133977",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "36887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISMA",
            "last_name": "KHALID",
            "prefix": "DR.",
            "credential": "BDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.