Organization Active NPI

Zarjan Khan Dental Corporation

Doing business as Ivy Dental Group

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1619888153
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ZARJAN KHAN DENTAL CORPORATION
Doing business as
Ivy Dental Group
Practice address
9700 Business Park Dr Ste 400a
Sacramento, CA 95827-1718
Phone
(916) 400-3552
NPI assigned
Sep 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Authorized official

Name
Zarjan Khan, DDS
Title
Owner
Phone
(209) 922-5302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

9700 Business Park Dr Ste 400a
Sacramento, CA 95827-1718

Mailing address

7025 Foraker Dr
Stockton, CA 95219-7021
Phone (209) 922-5302

Other names 1

  • Ivy Dental Group Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1619888153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7025 FORAKER DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952197021",
            "telephone_number": "209-922-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 BUSINESS PARK DR STE 400A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958271718",
            "telephone_number": "916-400-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZARJAN KHAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ZARJAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-922-5302",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ivy Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.