Individual provider Active NPI

Dina Khalf-Allah, DMD

  • Dentist
  • Washington, DC
National Provider Identifier
1386010320
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN1001561 Issued in DC
Practice address
1060 Brentwood Rd NE Ste B-1
Washington, DC 20018-1052
Phone
(202) 269-4746
Fax
(202) 269-6994
NPI assigned
Aug 13, 2015
Last updated
Oct 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401415002 VA
Dentist 122300000X DEN1001561 DC Primary

Addresses

Primary practice location

1060 Brentwood Rd NE Ste B-1
Washington, DC 20018-1052

Mailing address

15 N Nevada Ave
Colorado Springs, CO 80903-1708
Phone (719) 323-2362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20160519000675 DC Order and Referring Only - DentistPractitioner - Dentist 2163711839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN1001561DCMDDentist
0401415002VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Hero Dental of Washington DC PC Past Accepting new patients
Hero Vision of DC PLLC PastSince Dec 22, 2019 Accepting new patients

Organizations & group practices 2

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": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1386010320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 N NEVADA AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031708",
            "telephone_number": "719-323-2362",
            "fax_number": "719-631-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 BRENTWOOD RD NE STE B-1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200181052",
            "telephone_number": "202-269-4746",
            "fax_number": "202-269-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALF-ALLAH",
        "first_name": "DINA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-13",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401415002",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1001561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.