NPIMap

Organization Active NPI

Khalfani Walker, DMD, LLC

  • General Practice Dentistry
  • Wheaton, MD
National Provider Identifier
1659632248
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14525 Issued in MD
Legal business name
KHALFANI WALKER, DMD, LLC
Doing business as
Elite Dental Center
Practice address
11175 Georgia Ave
Unit a
Wheaton, MD 20902-4605
Phone
(301) 622-0484
NPI assigned
May 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Authorized official

Name
Khalfani D Walker, DMD
Title
Owner/Dentist
Phone
(301) 622-0484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14525 MD Primary

Addresses

Primary practice location

11175 Georgia Ave
Unit a
Wheaton, MD 20902-4605

Mailing address

11175 Georgia Ave
Unit a
Wheaton, MD 20902-4605

Other identifiers 1

IdentifierTypeStateIssuer
1942468590OtherMDINDIVIDUAL NPI

Other names 1

  • Elite Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

11175 Georgia Ave
Ste A
Wheaton, MD 20902
Phone (301) 622-0484

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1659632248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11175 GEORGIA AVE",
            "address_2": "UNIT A",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209024605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11175 GEORGIA AVE",
            "address_2": "UNIT A",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209024605",
            "telephone_number": "301-622-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHALFANI WALKER, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KHALFANI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "301-622-0484",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1942468590",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheaton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.