Active NPI
Aqib Nawaz Khan, DDS
- Dentist
- Fort Bliss, TX
National Provider Identifier
1447805973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D14252
- Practice address
- USA Dental Activity
2901 Cassidy Rd
Fort Bliss, TX 79916 - Phone
- (915) 742-5935
- NPI assigned
- Aug 1, 2019
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D14252 | MN | Primary |
Addresses
Primary practice location
USA Dental Activity
2901 Cassidy Rd
Fort Bliss, TX 79916
Mailing address
USA Dental Activity Attn: Credentials
2901 Cassidy Rd
Fort Bliss, TX 79916
Phone (915) 742-5935
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 |
|---|---|---|---|
| D14252 | MN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1447805973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "USA DENTAL ACTIVITY ATTN: CREDENTIALS",
"address_2": "2901 CASSIDY RD",
"city": "FORT BLISS",
"state": "TX",
"postal_code": "79916",
"telephone_number": "915-742-5935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "USA DENTAL ACTIVITY",
"address_2": "2901 CASSIDY RD",
"city": "FORT BLISS",
"state": "TX",
"postal_code": "79916",
"telephone_number": "915-742-5935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "AQIB",
"middle_name": "NAWAZ",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-01",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D14252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Bliss, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.