Individual provider Active NPI

Khaldoun Attar, DDS

  • General Practice Dentistry
  • Toledo, OH
National Provider Identifier
1326057902
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-022216 Issued in OH
Practice address
5801 Telegraph Rd Ste 1
Toledo, OH 43612-4558
Phone
(419) 478-4440
Fax
(419) 478-4856
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 30-022216 OH Primary

Addresses

Primary practice location

5801 Telegraph Rd Ste 1
Toledo, OH 43612-4558

Mailing address

7646 Sylvan Oaks Way
Sylvania, OH 43560-9215
Phone (206) 349-6721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20160329002923 OH Order and Referring Only - DentistPractitioner - Dentist 4183921539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
30-022216OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Khaldoun Attar DDS Inc General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326057902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7646 SYLVAN OAKS WAY",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435609215",
            "telephone_number": "206-349-6721",
            "fax_number": "567-455-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 TELEGRAPH RD STE 1",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436124558",
            "telephone_number": "419-478-4440",
            "fax_number": "419-478-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTAR",
        "first_name": "KHALDOUN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-022216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.