Active NPI
Haroon Rasheed Khan
- Dentist
- Milwaukee, WI
National Provider Identifier
1649195397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6002308
- Practice address
- 5542 W Fond Du Lac Ave
Milwaukee, WI 53216-1200 - Phone
- (414) 240-0935
- NPI assigned
- Aug 12, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.037165 | IL | |
| Dentist | 122300000X | 6002308 | WI | Primary |
Addresses
Primary practice location
5542 W Fond Du Lac Ave
Milwaukee, WI 53216-1200
Mailing address
18954 W North Woodale TRL
Lake Villa, IL 60046-1712
Phone (847) 530-8180
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1649195397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18954 W NORTH WOODALE TRL",
"city": "LAKE VILLA",
"state": "IL",
"postal_code": "600461712",
"telephone_number": "847-530-8180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5542 W FOND DU LAC AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532161200",
"telephone_number": "414-240-0935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "HAROON",
"middle_name": "RASHEED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-08-12",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.037165",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "6002308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.