Active NPI
Dina Nabil Khairy, DDS
- Dentist
- Oak Harbor, WA
National Provider Identifier
1548486962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2508
- Practice address
- 31775 Sr 20
Suite a-3
Oak Harbor, WA 98277 - Phone
- (360) 679-9216
- Fax
- (360) 679-9239
- NPI assigned
- Apr 17, 2007
- Last updated
- Mar 25, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2508 | OH | Primary |
Addresses
Primary practice location
31775 Sr 20
Suite a-3
Oak Harbor, WA 98277
Mailing address
PO Box 34703
Seattle, WA 98124-1703
Phone (206) 764-3335
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 |
|---|---|---|---|
| 2508 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea Mar Community Health Centers | Dentist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Oak Harbor, WA
- NPI 1598813818
Dentist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237939200000",
"number": "1548486962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34703",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241703",
"telephone_number": "206-764-3335",
"fax_number": "206-764-0489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31775 SR 20",
"address_2": "SUITE A-3",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "98277",
"telephone_number": "360-679-9216",
"fax_number": "360-679-9239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAIRY",
"first_name": "DINA",
"middle_name": "NABIL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2009-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "2508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.