Fouad Ashhar Khan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901017675 Issued in MI

Practice address

3257 Fort St
Lincoln Park, MI 48146-3632

Phone

(313) 383-2270

Fax

(313) 383-2558

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dental Health Group of Michgian

  • Dentist
  • Lincoln Park, MI
  • NPI 1144435603
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1316021561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49387 TOWNSEND CT",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481875806",
            "telephone_number": "734-717-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3257 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481463632",
            "telephone_number": "313-383-2270",
            "fax_number": "313-383-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "FOUAD",
        "middle_name": "ASHHAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Dean Kemp
• Kennedy Dental Center of Michigan, P.C.
• Khalil and Usen DPM PC
• Khalil and Usen DPM PC II
• Arif Ali Khan
• Mahmood Khan, M.D.
• Kid'S First Pediatric Dentistry PC
• Katie Lynn Kiner, LLPC
• Mark Perry Kirsch, RPH
• Miranda Kizy, NP

• General Practice Dentistry in Lincoln Park, MI
• Providers in Lincoln Park, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.