Amal Kharbouch, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

27417 Issued in TX

Practice address

319 Lynnway
Lynn, MA 01901-1811

Phone

(781) 599-5437

Fax

(781) 599-5436

NPI assigned

Jan 28, 2011

Last updated

Feb 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lynn Smiles Youth Dentistry, LLC

  • General Practice Dentistry
  • Lynn, MA
  • NPI 1811045115
  NPD (past)
• New England Family Dentistry ,PC

  dba Children's Dentistry of Lynn

  • Point of Service
  • Lynn, MA
  • NPI 1316348113
  NPD (past)

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1427354133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W 8TH ST",
            "address_2": "SUITE 810",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033038",
            "telephone_number": "719-562-4447",
            "fax_number": "719-583-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 LYNNWAY",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011811",
            "telephone_number": "781-599-5437",
            "fax_number": "781-599-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHARBOUCH",
        "first_name": "AMAL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "DN1855574",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "27417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Kernizan
• Kernwood Adult Day Care, Inc. (Kernwood Adult Day Health)
• Wendy Kessler, M.ED
• Azza Khalid
• Channa Khan, CMA
• Maryam Khodadoust, PSYD
• Suham Khoshaba
• Julia Khudisman, RN
• Chad Kibbe, BA
• Hanh Kien

• Orthodontics and Dentofacial Orthopedics Dentistry in Lynn, MA
• Providers in Lynn, MA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.