Individual provider Active NPI

Quratulann Khan, DMD

  • General Practice Dentistry
  • Plainfield, IL
National Provider Identifier
1629960919
Registry record updated Jul 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.036315 Issued in IL
Practice address
7170 Caton Farm Rd Unit P
Plainfield, IL 60586-1695
Phone
(815) 782-2299
NPI assigned
Jul 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.036315 IL Primary

Addresses

Primary practice location

7170 Caton Farm Rd Unit P
Plainfield, IL 60586-1695

Mailing address

313 Chick Evans St
Bolingbrook, IL 60490-2074
Phone (630) 994-9009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019.036315ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Zheng Ma, D.M.D., P.C. General Practice CurrentSince Jul 22, 2025 Accepting new patients

Locations

7170 Caton Farm Rd
Unit P
Plainfield, IL 60586
Phone (815) 782-2299

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1752883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752883200000",
    "number": "1629960919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 CHICK EVANS ST",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604902074",
            "telephone_number": "630-994-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7170 CATON FARM RD UNIT P",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605861695",
            "telephone_number": "815-782-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "QURATULANN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-19",
        "last_updated": "2025-07-19",
        "certification_date": "2025-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.036315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2025; 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.