Active NPI
Adiba Khan
- General Practice Dentistry
- Tampa, FL
National Provider Identifier
1649638172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN23847
- Practice address
- 7814 N Dale Mabry Hwy
Tampa, FL 33614-3220 - Phone
- (813) 405-3939
- NPI assigned
- Jan 28, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | DRP 1465 | FL | |
| General Practice Dentistry | 1223G0001X | DN23847 | FL | Primary |
Addresses
Primary practice location
7814 N Dale Mabry Hwy
Tampa, FL 33614-3220
Mailing address
7814 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 405-3939
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN23847 | FL | MD | General Practice Dentistry |
| DRP 1465 | FL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550534400000",
"number": "1649638172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7814 N DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "33614",
"telephone_number": "813-405-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7814 N DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336143220",
"telephone_number": "813-405-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "ADIBA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-28",
"last_updated": "2019-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "DRP 1465",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN23847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.