Ikhlas Al Rishan

Primary specialty

DentistTaxonomy code 122300000X

License

22DI03030800 Issued in NJ

Practice address

1802 Route 35
Oakhurst, NJ 07755-2912

Phone

(732) 660-0500

NPI assigned

Apr 2, 2024

Last updated

May 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eastern Dental of Eatontown, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Oakhurst, NJ
  • NPI 1740493337
  NPD (past)

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1669224952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 ROUTE 35",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077552912",
            "telephone_number": "732-660-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 ROUTE 35",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077552912",
            "telephone_number": "732-660-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2770 Hooper Ave Unit 4",
            "address_purpose": "LOCATION",
            "city": "Brick",
            "state": "NJ",
            "postal_code": "087234160",
            "country_code": "US",
            "telephone_number": "732-965-3682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL RISHAN",
        "first_name": "IKHLAS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI03030800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Ambulatory Anesthesia Associates, LLC
• Advanced Breast Surgery LLC
• Jessica Alexandria Ahearn, MA, LAC, NCC
• Aida Hernandez LPC LLC
• Reza Yasin Akhtar, MD
• Albert J. Sultan, Psy.D. LLC
• Allcare Foot & Ankle
• Kaitlyn A Almeida, PA-C
• Caroline Alto, PH.D.
• Shivam Amin, DMD

• Dentist in Oakhurst, NJ
• Providers in Oakhurst, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.