Individual provider Active NPI

Neelofar Ali Khan, DDS

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1295872307
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
51949 Issued in CA
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

Updated by the provider on Jan 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.