Angela Khamphouy, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901022578 Issued in MI

Practice address

1110 Henry St
Ann Arbor, MI 48104-4339

Phone

(734) 973-3200

NPI assigned

Jun 11, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Schaefer Dental Group-Ann Arbor PLLC

  • General Practice Dentistry
  • Ann Arbor, MI
  • NPI 1831856962
  NPD
• Dental Health Associates of Sylvania, LTD

  • General Practice Dentistry
  • Sylvania, OH
  • NPI 1013375641
  NPD (past)

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644624000000",
    "number": "1689167157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 EDGEWOOD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871609",
            "telephone_number": "616-928-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 HENRY ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044339",
            "telephone_number": "734-973-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3924 Sylvan Lakes Blvd",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "OH",
            "postal_code": "435608701",
            "country_code": "US",
            "telephone_number": "419-882-4510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAMPHOUY",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2022-02-12",
        "certification_date": "2022-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.025482",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lara Khalifeh, M.A.
• Aya Khalil, MD
• Mona Khalil, REGISTERED NURSE
• Nour Khalil
• Sophia Khalil, MD
• Asra Khan, MD
• Ayesha Khan
• Gazala Naaz Khan, M.D.
• Gulnaz Khan, M.D.
• Imadh Khan

• Dentist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2022; 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.