Active NPI
Elias Nicholas Khoury, D.M.D.
- Dentist
- Pleasanton, CA
National Provider Identifier
1306337878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 102442
- Practice address
- 718 Sycamore Creek Way
Pleasanton, CA 94566-3804 - Phone
- (925) 640-9905
- NPI assigned
- May 21, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 102442 | CA | Primary |
Addresses
Primary practice location
718 Sycamore Creek Way
Pleasanton, CA 94566-3804
Mailing address
718 Sycamore Creek Way
Pleasanton, CA 94566-3804
Phone (925) 640-9905
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 |
|---|---|---|---|
| 102442 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elias N Khoury DMD Inc | Current | Accepting new patients | |
| Elias N Khoury DMD Inc | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- San Pedro, CA
- NPI 1427920933
-
- General Practice Dentistry
- San Pedro, CA
- NPI 1881575983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526860800000",
"number": "1306337878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 SYCAMORE CREEK WAY",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945663804",
"telephone_number": "925-640-9905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 SYCAMORE CREEK WAY",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945663804",
"telephone_number": "925-640-9905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOURY",
"first_name": "ELIAS",
"middle_name": "NICHOLAS",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-21",
"last_updated": "2018-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "102442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.