NPIMap

Organization Active NPI

Khan & Zayyad Dental PLLC

Doing business as Palos Smiles

  • General Practice Dentistry
  • Palos Hills, IL
National Provider Identifier
1407681810
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KHAN & ZAYYAD DENTAL PLLC
Doing business as
Palos Smiles
Practice address
8114 W 111TH St
Palos Hills, IL 60465-2206
Phone
(708) 974-9550
Fax
(708) 974-1823
NPI assigned
Sep 5, 2024
Last updated
Dec 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Dr. Ayesha Khan, DMDNPI 1821737180
Title
Co-Owner
Phone
(773) 750-5205

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

8114 W 111TH St
Palos Hills, IL 60465-2206

Mailing address

8114 W 111TH St
Palos Hills, IL 60465-2206
Phone (708) 974-9550

Other names 1

  • Palos Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

8114 W 111th St
Palos Hills, IL 60465
Phone (708) 974-9550

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1407681810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8114 W 111TH ST",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652206",
            "telephone_number": "708-974-9550",
            "fax_number": "708-974-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8114 W 111TH ST",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652206",
            "telephone_number": "708-974-9550",
            "fax_number": "708-974-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHAN & ZAYYAD DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AYESHA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "773-750-5205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palos Smiles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palos Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palos Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.