Khaldoon Abid, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

27692 Issued in TX

Practice address

415 S Airport Dr Ste C
Weslaco, TX 78596-5396

Phone

(956) 375-2248

Fax

(956) 375-2249

NPI assigned

Feb 16, 2012

Last updated

Oct 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jordan Dental PA

  • General Practice Dentistry
  • Weslaco, TX
  • NPI 1174947899
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1386917607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S AIRPORT DR",
            "address_2": "STE C",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785965396",
            "telephone_number": "956-375-2248",
            "fax_number": "956-375-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S AIRPORT DR STE C",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785965396",
            "telephone_number": "956-375-2248",
            "fax_number": "956-375-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABID",
        "first_name": "KHALDOON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-16",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "27692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386916076",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A & S Medical Equipment
• A Gentle Hand Health Care Services LLC
• A Loving Comfort Hospice, LLC
• A Suarez DDS PLLC (Alo Family Dental)
• Abc PHC, Inc.
• Ricardo Abreu, MD
• Absolute Emergency Medical Services,Inc
• Absolutely Zippy PHC Enterprises LLC
• Access Dental of Weslaco PLLC
• Access Esperanza Clinics Inc.

• Dentist in Weslaco, TX
• Providers in Weslaco, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.