NPIMap

Organization Active NPI

Khalid R Jilani DMD Limited

  • General Practice Dentistry
  • North Las Vegas, NV
National Provider Identifier
1629426283
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6504 Issued in NV
Legal business name
KHALID R JILANI DMD LIMITED
Practice address
2668 Las Vegas Blvd N Ste 101
North Las Vegas, NV 89030-5870
Phone
(702) 748-8244
Fax
(702) 997-1223
NPI assigned
May 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Dr. Khalid Jilani, DMDNPI 1124431200
Title
General Dentist/Manager
Phone
(702) 748-8244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 6504 NV Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X

Addresses

Primary practice location

2668 Las Vegas Blvd N Ste 101
North Las Vegas, NV 89030-5870

Mailing address

2668 Las Vegas Blvd N Ste 101
North Las Vegas, NV 89030-5870
Phone (702) 748-8244

Other identifiers 1

IdentifierTypeStateIssuer
100539380MedicaidNV

Other names 1

  • Bonita Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2668 N Las Vegas Blvd
Ste 101
North Las Vegas, NV 89030
Phone (702) 748-8244

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1629426283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2668 LAS VEGAS BLVD N STE 101",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890305870",
            "telephone_number": "702-748-8244",
            "fax_number": "702-997-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2668 LAS VEGAS BLVD N STE 101",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890305870",
            "telephone_number": "702-748-8244",
            "fax_number": "702-997-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHALID R JILANI DMD LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "JILANI",
        "authorized_official_first_name": "KHALID",
        "authorized_official_title_or_position": "GENERAL DENTIST/MANAGER",
        "authorized_official_telephone_number": "702-748-8244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6504",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100539380",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonita Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.