Individual provider Active NPI

Akbar Khan, DMD

  • Pediatric Dentistry
  • Vancouver, WA
National Provider Identifier
1538728878
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D11635 Issued in OR
Practice address
601 SE 117TH Ave Ste 150
Vancouver, WA 98683-5298
Phone
(360) 209-1089
NPI assigned
Jun 11, 2019
Last updated
May 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X D11635 OR Primary
Pediatric Dentistry 1223P0221X DENT.DE.70116225 WA

Addresses

Primary practice location

601 SE 117TH Ave Ste 150
Vancouver, WA 98683-5298

Mailing address

875 NE 27TH Ave Apt 2602
Portland, OR 97232-3691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20191126000886 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8325471774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D11635ORMDPediatric Dentist
DENT.DE.70116225WAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Acorn Dentistry for Kids - Orthodontics PastSince Mar 12, 2023 Accepting new patients
Acorn Dentistry for Kids - East Salem, LLC Pediatric Dentistry PastSince Jul 1, 2022 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1538728878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 NE 27TH AVE APT 2602",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SE 117TH AVE STE 150",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835298",
            "telephone_number": "360-209-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AKBAR",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-11",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D11635",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DENT.DE.70116225",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.