Ayeshaw Jabeen Khan, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

D009227 Issued in AZ

Practice address

407 N 4TH St
Buckeye, AZ 85326-2442

Phone

(623) 327-3206

Fax

(623) 327-0563

NPI assigned

May 31, 2015

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

Other identifiers 1

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 and National Provider Directory roles.

• Kav Dental LLC

  • General Practice Dentistry
  • Buckeye, AZ
  • NPI 1831816503
  NPD Authorized official

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

{
    "created_epoch": "1433030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1619357175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N 4TH ST",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853262442",
            "telephone_number": "623-327-3206",
            "fax_number": "623-327-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N 4TH ST",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853262442",
            "telephone_number": "623-327-3206",
            "fax_number": "623-327-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AYESHAW",
        "middle_name": "JABEEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-31",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044247",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Kennedy, DDS
• Annette Kerr
• Khakwani and Mohammad Medical PC
• Khakwani and Mohammad Medical PC
• Khakwani and Mohammad Medical PC
• Daniel Lee Knight, DC
• John F Konings, MD
• Kou Behavorial Home LLC
• Lama Home LLC
• Matthew Lamca, PA-C

• Dentist in Buckeye, AZ
• Providers in Buckeye, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.