Individual provider Active NPI

Sai N Kham, DMD

  • Dentist
  • Washington, DC
National Provider Identifier
1669737631
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN1001122 Issued in DC
Practice address
1112 16TH St NW Ste 340
Washington, DC 20036-4819
Phone
(202) 628-9450
Fax
(202) 628-9453
NPI assigned
Jul 5, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN1001122 DC Primary
Dentist 122300000X 0401413691 VA

Addresses

Primary practice location

1112 16TH St NW Ste 340
Washington, DC 20036-4819

Mailing address

9340 Clocktower PL Apt 163
Fairfax, VA 22031-1227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DEN1001122DCMDDentist
0401413691VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Cave and Associates Dentist Past Accepting new patients

Organizations & group practices 1

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": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1669737631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9340 CLOCKTOWER PL APT 163",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220311227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 16TH ST NW STE 340",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200364819",
            "telephone_number": "202-628-9450",
            "fax_number": "202-628-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAM",
        "first_name": "SAI",
        "middle_name": "N",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1001122",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413691",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.