Samia Khan

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

14513 Issued in CT

Practice address

345 Main St Ste 2
Danbury, CT 06810-5847

Phone

(475) 329-2145

NPI assigned

Apr 8, 2022

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

Rutgers School of Dental Medicine, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samia.khan.1@18107.direct.athenahealth.com

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.

• Damian Family Care Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Jamaica, NY
  • NPI 1508955592
  Medicare reassignment NPD
• Khan Pediatric Dentistry, PLLC

  • Pediatric Dentistry
  • Yonkers, NY
  • NPI 1467398115
  NPD Authorized official
• Damian Family Care Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Jamaica, NY
  • NPI 1487923595
  NPD

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760745600000",
    "number": "1619619970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 MAIN ST STE 2",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105847",
            "telephone_number": "475-329-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 MAIN ST STE 2",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105847",
            "telephone_number": "475-329-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SAMIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2025-10-18",
        "certification_date": "2025-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "063342",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "14513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fateme Khalatbari, MD
• Robert Khalil, MD
• Golnar Khalili, DDS
• Maria Khan, M.D.
• Salman H Khan, D.D.S.
• Karina Khawaja, SP. ED. TEACHER
• Uneza Rauf Khawaja, MD
• Kids Dental Specialists LLC
• Eitan Kilchevsky, M.D.
• Christopher Kilkenny

• Pediatric Dentistry in Danbury, CT
• Providers in Danbury, CT by specialty
• Pediatric Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.