Shariq Khan

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

36969 Issued in TX

Practice address

1355 E League City Pkwy Ste 500
League City, TX 77573-7096

Phone

(346) 358-3592

NPI assigned

Jul 22, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Blessed Dental Specialists PLLC

  • Pediatric Dentistry
  • League City, TX
  • NPI 1023847902
  NPD Authorized official

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1366050700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 N GEMINI DR APT 117",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 E LEAGUE CITY PKWY STE 500",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775737096",
            "telephone_number": "346-358-3592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHARIQ",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-22",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "36969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Kempf
• Veena Kesireddy, M.D
• Aisha Imtiaz Khan, M.D.
• Irfan Ahmad Khan
• Mariam Choudhry Khan, MD
• Megan Lynn Khong, DDS
• Mona Kidwell, N.P.
• Barbara Adame Kim, MD
• Andie Kimble
• Joshua Matthew Kinney, PTA

• Orthodontics and Dentofacial Orthopedics Dentistry in League City, TX
• Providers in League City, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.