Active NPI
Neelofar Ali Khan, DDS
- General Practice Dentistry
- Sacramento, CA
National Provider Identifier
1295872307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 51949
- Practice address
- 3160 Sparrow Dr
Sacramento, CA 95834 - Phone
- (916) 575-7536
- Fax
- (916) 575-9413
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 51949 | CA | Primary |
Addresses
Primary practice location
3160 Sparrow Dr
Sacramento, CA 95834
Mailing address
4410 Duckhorn Dr
St a
Sacramento, CA 95834-2589
Phone (916) 575-7536
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199664000000",
"number": "1295872307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4410 DUCKHORN DR",
"address_2": "ST A",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958342589",
"telephone_number": "916-575-7536",
"fax_number": "916-575-9413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3160 SPARROW DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95834",
"telephone_number": "916-575-7536",
"fax_number": "916-575-9413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "NEELOFAR",
"middle_name": "ALI",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2008-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "51949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.