Shamaila Khaliq

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401417807 Issued in VA

Practice address

1622 Holland Rd
Suffolk, VA 23434-6767

Phone

(757) 539-2998

NPI assigned

Jul 4, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• James Alan Taylor

  • Dentist
  • Suffolk, VA
  • NPI 1730380189
  NPD (past)

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

{
    "created_epoch": "1625356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1629649355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 HOLLAND RD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234346767",
            "telephone_number": "757-539-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 HOLLAND RD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234346767",
            "telephone_number": "757-539-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIQ",
        "first_name": "SHAMAILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-04",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN122399",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401417807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeisha Keneti, DNP,FNP-C, PMH-BC
• Felicia Kennedy
• Alneader Kenner-Woodard, CNM
• Mark B. Kerner, M.D.
• Ladeana Ann Ketter, RN
• Siddharth Khanna, M.D
• Zia Ann Khould, CNP
• Haley Kimball, COTA
• James Allen Kincaid, MD
• Kindred Nursing Centers East, L.L.C.

• General Practice Dentistry in Suffolk, VA
• Providers in Suffolk, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.