Active NPI
Alpana Handa Khetarpal, BDS,DDS
- Pediatric Dentistry
- Canton, OH
National Provider Identifier
1285850875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 20139
- Practice address
- 4176 Holiday St NW Ste 4
Canton, OH 44718-2532 - Phone
- (330) 493-1004
- Fax
- (330) 649-9756
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 20139 | OH | Primary |
Addresses
Primary practice location
4176 Holiday St NW Ste 4
Canton, OH 44718-2532
Mailing address
4176 Holiday St NW Ste 4
Canton, OH 44718-2532
Phone (330) 493-1004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0160954 | Medicaid | OH |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20139 | OH | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285850875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4176 HOLIDAY ST NW STE 4",
"city": "CANTON",
"state": "OH",
"postal_code": "447182532",
"telephone_number": "330-493-1004",
"fax_number": "330-649-9756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4176 HOLIDAY ST NW STE 4",
"city": "CANTON",
"state": "OH",
"postal_code": "447182532",
"telephone_number": "330-493-1004",
"fax_number": "330-649-9756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHETARPAL",
"first_name": "ALPANA",
"middle_name": "HANDA",
"name_prefix": "Dr.",
"credential": "BDS,DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "OH",
"license": "20139",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0160954",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.