Cotton Lane Dentistry, LLP

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

COTTON LANE DENTISTRY, LLP

Practice address

17200 W Peoria Avenue, Ste 116
Surprise, AZ 85388

Phone

(623) 738-0313

Fax

(623) 748-0353

NPI assigned

Jul 25, 2023

Organization subpart

No

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

Authorized official

Name

Mohammed Khakwani, DMD

Title

Owner

Phone

(623) 738-0312

Specialties & licenses 1

Addresses

Other names 1

• Cotton Lane Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Syed Hassan Abbas Zaidi

  • General Practice Dentistry
  • Surprise, AZ
  • NPI 1336838374
  NPD
• Majeed Hettini, DDS

  • General Practice Dentistry
  • Glendale, AZ
  • NPI 1053159327
  NPD (past)

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1326729237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 W PEORIA AVENUE, STE 116",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85388",
            "telephone_number": "623-738-0313",
            "fax_number": "623-748-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTON LANE DENTISTRY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "KHAKWANI",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-738-0312",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cotton Lane Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Costco Wholesale Corporation
• Nicole Lynn Costello, APRN
• Jessica Cota
• Lareina Cota
• Sarah Cotter
• Selena Claire Courtney-Koro, PT
• Jenell Cox, R.N.
• Mary Kay Cragan, PH.D.
• Judith Carrie Craig, R.N.
• Kristin J Craig, LVN

• Dentist in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.