Active NPI
Nabeel A. Khan, D.M.D., M.S.D.
- Endodontics
- Madison, WI
National Provider Identifier
1669424347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 4967
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4967 | WI | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Endodontics
- Madison, WI
- NPI 1154435246
-
- Endodontics
- Madison, WI
- NPI 1184837296
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.