Active NPI
Mohammad Arsalan Khan, D.D.S.
- General Practice Dentistry
- Richmond, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 28109
- Practice address
- 6611 F.M. 1464 Rd.
D
Richmond, TX 77407-7740 - Phone
- (832) 280-4410
- Fax
- (281) 903-7471
- NPI assigned
- Jul 13, 2012
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 28109 | TX | Primary |
Addresses
Primary practice location
6611 F.M. 1464 Rd.
D
Richmond, TX 77407-7740
Mailing address
6611 F.M. 1464 Rd.
D
Richmond, TX 77407-4034
Phone (832) 280-4410
Other practice location 1
1013 Dairy Ashford Rd
Houston, TX 77079-4602
Phone (346) 635-1090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28109 | Other | TX | TEXAS STATE BOARD OF DENTAL EXAMINERS |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- University of Texas Medical School at San Antonio, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
23003 Blackwater Rd
San Antonio, TX 78258-2559
6611 FM 1464 Rd
Suite D
Richmond, TX 77407-8218
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28109 | TX | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Braun 7To7 PLLC | Current | Accepting new patients | |
| Mak DDS PLLC | General Practice | Current | Accepting new patients |
| Mohammad Arsalan Khan & Associates LLC | General Practice | Past | Accepting new patients |
Locations
1013 Dairy Ashford Rd
Houston, TX 77079
Phone (832) 230-5222
6611 FM 1464 Rd
Ste D
Richmond, TX 77407
Phone (832) 280-4410
10103 W Loop 1604 N
Ste 104
San Antonio, TX 78254
Phone (210) 493-4444
Organizations & group practices 3
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.
-
dba Sweet Tooth Smiles Dentistry and Orthodontics
- General Practice Dentistry
- Richmond, TX
- NPI 1568249910
-
- Dental Clinic/Center
- San Antonio, TX
- NPI 1417622432
-
- General Practice Dentistry
- Richmond, TX
- NPI 1992296578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1356696504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6611 F.M. 1464 RD.",
"address_2": "D",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774074034",
"telephone_number": "832-280-4410",
"fax_number": "281-903-7471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6611 F.M. 1464 RD.",
"address_2": "D",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774077740",
"telephone_number": "832-280-4410",
"fax_number": "281-903-7471"
}
],
"practiceLocations": [
{
"address_1": "1013 Dairy Ashford Rd",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770794602",
"country_code": "US",
"telephone_number": "346-635-1090",
"fax_number": "281-903-7471",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "MOHAMMAD",
"middle_name": "ARSALAN",
"name_prefix": "Mr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-13",
"last_updated": "2023-10-23",
"certification_date": "2023-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "28109",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE BOARD OF DENTAL EXAMINERS",
"identifier": "28109",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.