Mohammad Khalifeh, DDS

Primary specialty

Orofacial Pain DentistryTaxonomy code 1223X2210X

License

40631 Issued in CA

Practice address

5757 Wilshire Blvd.,
Suite # 5
Los Angeles, CA 90036

Phone

(323) 933-3855

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

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 and National Provider Directory roles.

• Khalifeh Dental Group

  • Orofacial Pain Dentistry
  • Los Angeles, CA
  • NPI 1043056476
  NPD Authorized official
• Mohammad Khalifeh, DDS, Inc.

  • Orofacial Pain Dentistry
  • Los Angeles, CA
  • NPI 1043055395
  NPD (past) Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719619200000",
    "number": "1417045931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD.,",
            "address_2": "SUITE # 5",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90036",
            "telephone_number": "323-933-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD.,",
            "address_2": "SUITE # 5",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90036",
            "telephone_number": "323-933-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIFEH",
        "first_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40631",
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "CA",
            "license": "40631",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40631",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXPAYER IDENTIFYING NUMB",
            "identifier": "47-0910768",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• SD Nomsa Khalfani, LMFT
• Nuha Khalfay
• Hira Khalid
• Natalia Khalifa
• Khalifeh Dental Group
• Zain Khalifeh, MD
• Shadi Khalifian, RD
• Misha Khalighi, M.D.
• Fadi Khalil
• Joelle Khalil

• Orofacial Pain Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Orofacial Pain Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2024; 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.