Saba M Khan, DDS, MSD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

021.002216 Issued in IL

Practice address

421 W Prospect Ave
Mount Prospect, IL 60056-3031

Phone

(224) 607-3746

Fax

(224) 607-3746

NPI assigned

Jul 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1578762183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W PROSPECT AVE",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563031",
            "telephone_number": "224-607-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W PROSPECT AVE",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563031",
            "telephone_number": "224-607-3746",
            "fax_number": "224-607-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SABA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "021.002216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "messaging",
            "affiliation": "N",
            "address_1": "421 W Prospect Ave",
            "city": "Mount Prospect",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600563031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kenneth Young Center
• Phyllis Kerendian, M.A.T., CCC
• Laura Kezdi-Hamzeloo, L.C.P.C.
• Hasnath Khan, NP-C
• Mir Wahajuddin Ali Khan, DDS
• Sheilendr Khipple, MD
• Philip J Kiley, M.D.
• Daniel Nile Kim
• Hannah Eunhee Kim, D.C.
• Ihn Kim, D.C.

• Periodontics in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Periodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.