Organization Active NPI

Khakwani Dental PC.

  • General Practice Dentistry
  • East Hartford, CT
National Provider Identifier
1669726931
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
010291 Issued in CT
Legal business name
KHAKWANI DENTAL PC.
Doing business as
ASDAQ DENTAL
Practice address
593 Burnside Ave
East Hartford, CT 06108-3537
Phone
(860) 282-0447
Fax
(860) 282-0457
NPI assigned
Nov 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Authorized official

Name
Dr. Asdaq Khakwani, DDS
Title
President
Phone
(718) 640-4713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 010291 CT Primary

Addresses

Primary practice location

593 Burnside Ave
East Hartford, CT 06108-3537

Mailing address

593 Burnside Ave
East Hartford, CT 06108-3537
Phone (860) 282-0447

Other names 1

  • ASDAQ DENTAL Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1669726931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 BURNSIDE AVE",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083537",
            "telephone_number": "860-282-0447",
            "fax_number": "860-282-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 BURNSIDE AVE",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083537",
            "telephone_number": "860-282-0447",
            "fax_number": "860-282-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHAKWANI DENTAL PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "KHAKWANI",
        "authorized_official_first_name": "ASDAQ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-640-4713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASDAQ DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.