Active NPI
Qadir J Khan, DDS
- Dentist
- Arlington, TX
National Provider Identifier
1366147027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 40535
- Practice address
- 917 Dunkirk LN
Arlington, TX 76017-6560 - Phone
- (682) 554-2617
- NPI assigned
- Apr 3, 2023
- Last updated
- Jun 24, 2024
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 40535 | TX | Primary |
Addresses
Primary practice location
917 Dunkirk LN
Arlington, TX 76017-6560
Mailing address
917 Dunkirk LN
Arlington, TX 76017-6560
Phone (682) 554-2617
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40535 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1366147027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 DUNKIRK LN",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760176560",
"telephone_number": "682-554-2617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 DUNKIRK LN",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760176560",
"telephone_number": "682-554-2617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "QADIR",
"middle_name": "J",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-03",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "40535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.