Roxanna Khajavi, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

058344 Issued in NY

Practice address

375 S End Ave Ste 2B
New York, NY 10280

Phone

(212) 786-0930

NPI assigned

Apr 1, 2013

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

Interoperability endpoints

• Direct secure messaging: roxana.khajavi.p1@direct.ezramedical.nextgenshare.com
• Direct secure messaging: rkhajavi359587@ahs.direct-ci.com

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1558604264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 S END AVE STE 2B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "102801014",
            "telephone_number": "212-786-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 S END AVE STE 2B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10280",
            "telephone_number": "212-786-0930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 Nostrand Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112104749",
            "country_code": "US",
            "telephone_number": "718-339-3435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "375 S End Ave Ste 2B",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10280",
            "country_code": "US",
            "telephone_number": "212-786-0930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAJAVI",
        "first_name": "ROXANNA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS039941",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "058344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Khairat, M.D.
• Khaitov Medical PLLC
• Sergey Khaitov, M.D.
• Anzhelika Khaitova, PHARM. D
• Viktoriya Khaitova, RPA-C
• Nazanin Khajoueinejad, MD
• Rishi Khakhkhar, MD, MBA
• Yasmin Khakoo, MD
• Hilda Khakshoor
• Saad Khakwani

• Pediatric Dentistry in New York, NY
• Providers in New York, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.