NPIMap

Organization Active NPI

Ahmad Khan Dental Corp.

Doing business as iSmile Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Corona, CA
National Provider Identifier
1629505417
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
54611 Issued in CA
Legal business name
AHMAD KHAN DENTAL CORP.
Doing business as
iSmile Orthodontics
Practice address
1530 W 6TH St
Suite 101-a
Corona, CA 92882-2742
Phone
(949) 378-9389
Fax
(909) 622-0550
NPI assigned
May 11, 2017
Last updated
May 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Shehzad Khan, DDSNPI 1063668671
Title
President
Phone
(949) 378-9389

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 54611 CA Primary

Addresses

Primary practice location

1530 W 6TH St
Suite 101-a
Corona, CA 92882-2742

Mailing address

1530 W 6TH St
Suite 101-a
Corona, CA 92882-2742

Other names 1

  • iSmile Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1530 W 6th St
Ste 101A
Corona, CA 92882
Phone (949) 378-9389

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1629505417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 W 6TH ST",
            "address_2": "SUITE 101-A",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928822742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 W 6TH ST",
            "address_2": "SUITE 101-A",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928822742",
            "telephone_number": "949-378-9389",
            "fax_number": "909-622-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMAD KHAN DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SHEHZAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-378-9389",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "54611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iSmile Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.