Active NPI
Zarjan Khan Dental Corporation
Doing business as Ivy Dental Group
- General Practice Dentistry
- Sacramento, CA
National Provider Identifier
1619888153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
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.