Active NPI
Rex Khan Monif, DDS
- Dentist
- Winnebago, NE
National Provider Identifier
1679547913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6022
- Practice address
- Hwy 75/77
Winnebago, NE 68071-0706 - Phone
- (402) 878-2465
- NPI assigned
- Feb 14, 2006
- Last updated
- Jul 19, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6022 | NE | Primary |
Addresses
Primary practice location
Hwy 75/77
Winnebago, NE 68071-0706
Mailing address
1716 M St
Tekamah, NE 68061-1204
Phone (402) 174-1496
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6022 | NE | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184803200000",
"number": "1679547913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1716 M ST",
"city": "TEKAMAH",
"state": "NE",
"postal_code": "680611204",
"telephone_number": "402-174-1496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HWY 75/77",
"city": "WINNEBAGO",
"state": "NE",
"postal_code": "680710706",
"telephone_number": "402-878-2465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONIF",
"first_name": "REX",
"middle_name": "KHAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2007-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "6022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winnebago, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.