Shafia Khawaja

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

18350 Issued in MD

Practice address

9199 Reisterstown Rd Ste 206B
Owings Mills, MD 21117-4593

Phone

(410) 449-2934

NPI assigned

May 17, 2016

Last updated

Nov 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elhady Dental 2 PLLC

  dba GoSmiles Gainesville

  • Dentist
  • Gainesville, VA
  • NPI 1043790942
  NPD (past)
• Hicham Mekouar DDS PC

  dba gateway dental

  • Dentist
  • Gainesville, VA
  • NPI 1215143326
  NPD (past)

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1316394687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13975 CONNECTICUT AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209062921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9199 REISTERSTOWN RD STE 206B",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174593",
            "telephone_number": "410-449-2934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13975 Connecticut Ave Ste 208",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "20906",
            "country_code": "US",
            "telephone_number": "301-460-1212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAWAJA",
        "first_name": "SHAFIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416526",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "18350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory D Kersh, D.C.
• Erick Cameron Ketcham, MSW-S
• James Key
• Hafsa Rahman Khan, LGPC, NCC
• Rao Ali Hashim Khan, MD
• Menucha Khoshkherman
• Baila Khulin, BT
• Kibre Home Care
• Elizabeth Leonard Kim, M.D.
• Sunho Kim

• Periodontics in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Periodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.