Active NPI
Adil Khan, D.M.D
- General Practice Dentistry
- Dallas, TX
National Provider Identifier
1437644283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 34103
- Practice address
- 10909 Webb Chapel Rd Ste 159
Dallas, TX 75229-3739 - Phone
- (972) 807-9887
- NPI assigned
- Jun 25, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 34103 | TX | Primary |
Addresses
Primary practice location
10909 Webb Chapel Rd Ste 159
Dallas, TX 75229-3739
Mailing address
917 Dunkirk LN
Arlington, TX 76017-6560
Phone (682) 433-1348
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 |
|---|---|---|---|
| 34103 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529884800000",
"number": "1437644283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 DUNKIRK LN",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760176560",
"telephone_number": "682-433-1348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10909 WEBB CHAPEL RD STE 159",
"city": "DALLAS",
"state": "TX",
"postal_code": "752293739",
"telephone_number": "972-807-9887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "ADIL",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-25",
"last_updated": "2018-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "34103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.