Mohammad A Kandar, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7159 Issued in OK

Practice address

1520 S Main St
Blackwell, OK 74631-4921

Phone

(580) 363-0728

NPI assigned

May 21, 2019

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

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.

• Dentipassllc

  • Clinic/Center
  • San Francisco, CA
  • NPI 1316812233
  NPD Authorized official
• Kandar Dental Inc.

  • Dental Clinic/Center
  • San Francisco, CA
  • NPI 1831705706

  Dentist

  NPD Authorized official
• Okc Dental Health Associates, P.C.

  • General Practice Dentistry
  • Midwest City, OK
  • NPI 1942620885
  NPD (past)
• Summer Dental Midwest City, PLLC

  • General Practice Dentistry
  • Midwest City, OK
  • NPI 1518578095
  NPD (past)

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1508423005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 JACKSON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941111617",
            "telephone_number": "415-397-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S MAIN ST",
            "city": "BLACKWELL",
            "state": "OK",
            "postal_code": "746314921",
            "telephone_number": "580-363-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDAR",
        "first_name": "MOHAMMAD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-21",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "7159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integris Blackwell Home Health & Hospice
• Integris Blackwell Regional Hospital
• Sherryl Ann Jackson, L.P.C.
• Jeffrey R Shuart MD PC
• Lisa Ann Kahle, D.C.
• Kay County Oklahoma Hospital Company LLC
• Dominique Kingfisher
• Justun Kukuk, PHARMD
• Robert London, DDS
• Travis Harold Luke, DDS

• Dentist in Blackwell, OK
• Providers in Blackwell, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.