Khaled Dental Corporation

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

KHALED DENTAL CORPORATION

Practice address

9301 Wilshire Blvd Ste 407
Beverly Hills, CA 90210-6141

Phone

(310) 278-3666

NPI assigned

Mar 23, 2023

Organization subpart

No

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

Authorized official

Name

Mohamed Khaled, DDS,NPI 1174869515

Title

Ceo

Phone

(818) 312-4530

Specialties & licenses 1

Addresses

Other names 1

• Sterling Periodontics and Implantology Doing business as

Practitioners 1

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

• Mohamed Khaled, MSD

  • Periodontics
  • Oxnard, CA
  • NPI 1174869515
  NPD Authorized official

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1639872153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 WILSHIRE BLVD STE 407",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902106141",
            "telephone_number": "310-278-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 WILSHIRE BLVD STE 407",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902106141",
            "telephone_number": "310-278-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHALED DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "KHALED",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-312-4530",
        "authorized_official_credential": "DDS,"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sterling Periodontics and Implantology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Hickman Crna Nursing Inc
• Kevin Frank Kevorkian, MD
• KG Home Care Services LLC
• Alan Omid Khadavi, MD
• Mariam Khalatian
• Sheila Khaleghian, PSY.D.
• Abdullah Khalil, M.D.
• Karriann Louise Khalil, NP
• Guruzail Singh Khalsa, D.C.
• Har Hari S. Khalsa, D.C.

• Periodontics in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.