Nadima Khodor

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

S246 Issued in MN

Practice address

1290 Salem Rd SW Ste 10
Rochester, MN 55902-4210

Phone

(469) 915-8404

NPI assigned

Mar 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1376293506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 3RD AVE SE APT 614",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559046947",
            "telephone_number": "469-915-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 SALEM RD SW STE 10",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559024210",
            "telephone_number": "469-915-8404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 S Preston St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "40202",
            "country_code": "US",
            "telephone_number": "502-852-6928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHODOR",
        "first_name": "NADIMA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "10724",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MN",
            "license": "S246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamal Farooq Khattak, M.D.
• Soumen Khatua, MD
• Rushmin Khazanchi, MD
• Kushal Dev Khera, M.B., BCH., B.A.O.
• George Khludenev
• Shiao Yen Khoo, MD
• Sundeep Khosla, M.D.
• Mitra Anoosheh Khosravi Flanigan, MD
• Alexander Naif Khouri
• Vishal Khullar

• Prosthodontics in Rochester, MN
• Providers in Rochester, MN by specialty
• Prosthodontics in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.