Farooq Ha Khan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

52410 Issued in CA

Practice address

2590 Sycamore Dr
Antioch, CA 94509-2909

Phone

(925) 776-1141

NPI assigned

Dec 14, 2006

Sex

Male

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

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: fkhan@direct.westerndental.com

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487716510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 JULPUN LOOP",
            "city": "CLAYTON",
            "state": "CA",
            "postal_code": "945171226",
            "telephone_number": "818-458-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 SYCAMORE DR",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945092909",
            "telephone_number": "925-776-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "FAROOQ",
        "middle_name": "HA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichelle Keffler-Roa, DPT
• Serena Lachelle Kelly
• Valerie Kemp
• Robert Ford Kennedy
• Mahmood Ketabchi, LMFT
• Madiha Batool Khan, MD
• Nadir Khan, M.D.
• Sana Siddiqui Khan, M.D.
• Sommaiya Khan, IBCLC
• Babak Khayatan, DDS

• General Practice Dentistry in Antioch, CA
• Providers in Antioch, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.