Active NPI
Risha Khan
- General Practice Dentistry
- Snohomish, WA
National Provider Identifier
1518440072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE60870784
- Practice address
- 1001 Avenue D Ste 100
Snohomish, WA 98290-2018 - Phone
- (360) 568-9694
- NPI assigned
- Sep 11, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE60870784 | WA | Primary |
Addresses
Primary practice location
1001 Avenue D Ste 100
Snohomish, WA 98290-2018
Mailing address
905 Dexter Ave N Apt 609
Seattle, WA 98109-3886
Phone (480) 406-0477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60870784 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Risha Khan DMD PLLC | General Practice | Current | Accepting new patients |
Locations
21727 76th Ave W
Ste G
Edmonds, WA 98026
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Bothell, WA
- NPI 1851149629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536624000000",
"number": "1518440072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 DEXTER AVE N APT 609",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981093886",
"telephone_number": "480-406-0477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 AVENUE D STE 100",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982902018",
"telephone_number": "360-568-9694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "RISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-11",
"last_updated": "2018-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE60870784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Snohomish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.