Individual provider Active NPI

Afia Anwar Khan, DDS

  • General Practice Dentistry
  • Louisburg, NC
National Provider Identifier
1467349985
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14342 Issued in NC
Practice address
311 S Bickett Blvd
Louisburg, NC 27549-2701
Phone
(919) 853-6453
NPI assigned
Jun 18, 2025
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14342 NC Primary

Addresses

Primary practice location

311 S Bickett Blvd
Louisburg, NC 27549-2701

Mailing address

212 Shingle Oak Rd
Wake Forest, NC 27587-3714
Phone (415) 347-1957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250811000435 NC Order and Referring Only - DentistPractitioner - Dentist 0547768426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1467349985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 SHINGLE OAK RD",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873714",
            "telephone_number": "415-347-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S BICKETT BLVD",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492701",
            "telephone_number": "919-853-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANWAR KHAN",
        "first_name": "AFIA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "14342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisburg, NC

Sources for this page

Verify at the official NPI Registry.