Zoha Khatoon, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D14474 Issued in MN

Practice address

2010 27TH Ave S
Minneapolis, MN 55406-1108

Phone

(612) 336-8478

NPI assigned

Aug 12, 2020

Sex

Female

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 and National Provider Directory roles.

• Modern Dental Professionals Minnesota PC

  • Dentist
  • Minneapolis, MN
  • NPI 1447860523
  NPD
• Dr Alan Russell PLC

  • Dentist
  • Minneapolis, MN
  • NPI 1194997783
  NPD (past)

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1417568494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 27TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 27TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061108",
            "telephone_number": "612-336-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATOON",
        "first_name": "ZOHA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Kharbouch
• Supra Anil Khare, MD
• Samir Suresh Khariwala, MD
• Farid Khasiyev, M.D.
• Pratibha Khatiwoda
• Sarah Khayutin, PHD, LP
• Kheir Home Health Services Inc
• Nefertiti K Khemet Goudjayi, LCSW, LICSW
• Anastasia Khenkin
• Francisca Kho

• Dentist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.