Active NPI
Maha Khan, DDS
- General Practice Dentistry
- Greenville, SC
National Provider Identifier
1417567850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10139
- Practice address
- 1803 Woodruff Rd
Greenville, SC 29607-5936 - Phone
- (864) 297-5268
- NPI assigned
- Jul 31, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401417055 | VA | |
| General Practice Dentistry | 1223G0001X | 10139 | SC | Primary |
Addresses
Primary practice location
1803 Woodruff Rd
Greenville, SC 29607-5936
Mailing address
238 Brandau LN
Simpsonville, SC 29680-7266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10139 | SC | MD | Mental Health Counselor |
| 0401417055 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Dental Health Group LLC | General Practice | Current | Accepting new patients |
| Real Life Dental of Christiansburg, PLLC | General Practice | Past | Accepting new patients |
| Flat Rock Family Dentistry, P.a. | General Practice | Past | Accepting new patients |
Locations
1803 Woodruff Rd
Greenville, SC 29607
Phone (864) 297-5268
Organizations & group practices 3
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.
-
dba Family Dental Health of Flatrock
- General Practice Dentistry
- Greenville, SC
- NPI 1811721061
-
- General Practice Dentistry
- Greenville, SC
- NPI 1114101557
-
dba Real Life Dental
- General Practice Dentistry
- Christiansburg, VA
- NPI 1285457879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1417567850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "238 BRANDAU LN",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296807266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1803 WOODRUFF RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075936",
"telephone_number": "864-297-5268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "MAHA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-31",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401417055",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "10139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.