Individual provider Active NPI

Nabeel A. Khan, D.M.D., M.S.D.

  • Endodontics
  • Madison, WI
National Provider Identifier
1669424347
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
4967 Issued in WI
Practice address
2418 Crossroads Dr
Suite 2900
Madison, WI 53718-7995
Phone
(608) 442-3300
Fax
(608) 442-3303
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 4967 WI Primary

Addresses

Primary practice location

2418 Crossroads Dr
Suite 2900
Madison, WI 53718-7995

Mailing address

2418 Crossroads Dr
Suite 2900
Madison, WI 53718-7995
Phone (608) 442-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 5, 2019 through Mar 5, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4967WIMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Endodontics Endodontics Past Accepting new patients
Capital Endodontics LLC Endodontics Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669424347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 CROSSROADS DR",
            "address_2": "SUITE 2900",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537187995",
            "telephone_number": "608-442-3300",
            "fax_number": "608-442-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 CROSSROADS DR",
            "address_2": "SUITE 2900",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537187995",
            "telephone_number": "608-442-3300",
            "fax_number": "608-442-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "NABEEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WI",
            "license": "4967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.