Sundeep Singh Khahra

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

6001283-15 Issued in WI

Practice address

1432 W Forest Home Ave
Milwaukee, WI 53204-3228

Phone

(414) 277-8960

NPI assigned

Nov 23, 2022

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Children'S Hospital of Wisconsin, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Milwaukee, WI
  • NPI 1952408353
  NPD (past)

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1407565971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10631 TURNBERRY DR",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530926309",
            "telephone_number": "414-315-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 W FOREST HOME AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532043228",
            "telephone_number": "414-277-8960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2561 N 29th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532103116",
            "country_code": "US",
            "telephone_number": "414-372-4007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5433 W Fond Du Lac Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532161382",
            "country_code": "US",
            "telephone_number": "414-277-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAHRA",
        "first_name": "SUNDEEP",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-23",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WI",
            "license": "6001283-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talissa A Key
• Keyalluring Co. LLC
• Keystone Bayview LLC
• KGS Transportation LLC
• Ruba Naim Khader, BDS
• Ibrahim A Khaja, MD
• Adam M Khalid, AA
• Khadieja Mirza Khalid, MB BCH BAO
• Alaa Khalifa, RPH
• Mohamed Khalil, MEDICAL STUDENT

• Pediatric Dentistry in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Pediatric Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.