Akhlaq Khan

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.021642 Issued in OH

Practice address

100 N Garver Rd
Monroe, OH 45050-1712

Phone

(513) 783-4770

Fax

(513) 783-4162

NPI assigned

Dec 14, 2006

Last updated

Aug 15, 2023By 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

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

• Digital Dental Studio LLC

  • General Practice Dentistry
  • Monroe, OH
  • NPI 1366225310
  NPD Authorized official

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1396807616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N GARVER RD",
            "city": "MONROE",
            "state": "OH",
            "postal_code": "450501712",
            "telephone_number": "513-783-4770",
            "fax_number": "513-783-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N GARVER RD",
            "city": "MONROE",
            "state": "OH",
            "postal_code": "450501712",
            "telephone_number": "513-783-4770",
            "fax_number": "513-783-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AKHLAQ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.021642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayamba Julius, RN
• Constance Ann Kane, MSW, LSW
• Jessy Kaur, FNP
• Kayd Home Care LLC
• Ann Keyser, PTA
• Yulaunda R Kiser, RN
• Kroger Limited Partnership I (Kroger Pharmacy)
• Paul Richard Leasure, CSA
• Life Source Transportation
• Joe Locke, PARAMEDIC

• General Practice Dentistry in Monroe, OH
• Providers in Monroe, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.