Farheen Khatoon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.036382 Issued in IL

Practice address

3726 Roosevelt Rd
Kenosha, WI 53142-1900

Phone

(262) 652-7956

NPI assigned

May 19, 2025

Last updated

Aug 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental 360 Kenosha

  • General Practice Dentistry
  • Kenosha, WI
  • NPI 1669199600
  NPD
• Bruce F Andrekus, DDS,SC

  • Public Health Dentistry
  • Kenosha, WI
  • NPI 1104942432
  NPD (past)

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1548052434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3853 DOBSON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763716",
            "telephone_number": "847-565-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 ROOSEVELT RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531421900",
            "telephone_number": "262-652-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATOON",
        "first_name": "FARHEEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.036382",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anum Sameera Khan, M.D.
• Mehjabein Yaguoob Khan, MD
• Muhammad S Khan, MD
• Seema Khan, MD
• Kevin A Khater, MD, PHD
• Kid Power, LLC
• Kidney Care Home SC
• Kidney Replacement Therapies, SC
• Ali J Kilic, MD
• Nahae Kim, MD, MPH

• General Practice Dentistry in Kenosha, WI
• Providers in Kenosha, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.