Ali Amir Khan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

106457 Issued in CA

Practice address

7210 Day Creek Blvd Ste 110
Rancho Cucamonga, CA 91739-7543

Phone

(909) 803-1111

NPI assigned

Jul 7, 2021

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Amirkhan Dental Second Corporation

  • Dental Clinic/Center
  • Los Angeles, CA
  • NPI 1578447439
  NPD Authorized official
• Amirkhan Dental Corporation

  • Dental Clinic/Center
  • Los Angeles, CA
  • NPI 1790406072
  NPD
• Cohen Sedgh, Manavi & Pakravan Dental Corporation

  • Dentist
  • Pico Rivera, CA
  • NPI 1306133053
  NPD (past)
• Pakravan, Manavi & Cohen Dental Corporation

  • Dentist
  • Rancho Cucamonga, CA
  • NPI 1306348768
  NPD (past)

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1497326862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 WILSHIRE BLVD STE 1111",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251188",
            "telephone_number": "310-820-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 DAY CREEK BLVD STE 110",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917397543",
            "telephone_number": "909-803-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIR KHAN",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "106457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106457",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Amezquita
• Amh Medical Transportation LLC
• Amin and Bidarian Chiropractic, Inc.
• Kavita Salvi Amin, DDS
• Minal Amin
• Amor a. Quinio, M.D., Inc.
• Amajuoritse Jasmine Amoruwa, NP
• Sophia F Amoudeh, MPT
• Emilyn Amparo Muro, AMFT
• Ana Liza E. de Jesus DMD Inc.

• All providers in Rancho Cucamonga, CA
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.