Individual provider Active NPI

Mohammad Arsalan Khan, D.D.S.

  • General Practice Dentistry
  • Richmond, TX
National Provider Identifier
1356696504
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28109 Issued in TX
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

Updated by the provider on Oct 23, 2023

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 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

IdentifierTypeStateIssuer
28109OtherTXTEXAS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260211000416 TX Practitioner - DentistPractitioner - Oral Surgery 9234424342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DentistAlso: Oral Surgery
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

LicenseStateTypeSpecialty
28109TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Braun 7To7 PLLC CurrentSince Aug 15, 2021 Accepting new patients
Mak DDS PLLC General Practice CurrentSince Jan 26, 2026 Accepting new patients
Mohammad Arsalan Khan & Associates LLC General Practice PastSince Oct 29, 2023 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.

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

Verify at the official NPI Registry.