Austin Khorasanchi

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

064122 Issued in NY

Practice address

499 Sunrise Hwy W Ste 13B
Patchogue, NY 11772-2370

Phone

(631) 983-2937

NPI assigned

Feb 6, 2023

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

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.

• Molar Dentistry PLLC

  • General Practice Dentistry
  • Westbury, NY
  • NPI 1275057614
  NPD (past)

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1508562117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 SUNRISE HWY W STE 13B",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 SUNRISE HWY W STE 13B",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722370",
            "telephone_number": "631-983-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHORASANCHI",
        "first_name": "AUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-06",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "064122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayesha Khan, MD
• Hamid R Khan, RPH.
• Mishma Salsabil Khan
• Muhammad Shoaib Khan, RN
• Ubaid Khan
• Kristine Marie Kilanowski, RN
• Daphna Kilion, MD
• Carlos Kim
• Diane Kim
• Jenna Kim

• General Practice Dentistry in Patchogue, NY
• Providers in Patchogue, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.