Khaled Katmeh, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

0401417343 Issued in VA

Practice address

9 Holly Hill Dr
Petersburg, VA 23805-2559

Phone

(804) 733-9490

NPI assigned

Feb 24, 2021

Last updated

Feb 24, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Professionals of Virginia, P.C.

  dba Ridgefield Village Dental Care

  • General Practice Dentistry
  • Woodbridge, VA
  • NPI 1063167039

  Single Specialty

  NPD (past)
• DRS Ragsdale and Slagle LTD

  • Periodontics
  • Petersburg, VA
  • NPI 1497831176
  NPD (past)

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1689268104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 YOUNGS RD UNIT E",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212657",
            "telephone_number": "502-724-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HOLLY HILL DR",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052559",
            "telephone_number": "804-733-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATMEH",
        "first_name": "KHALED",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "0401417343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JSNV Medical LLC
• Kevin A Julien
• Hong Jun, MD
• Rasha Kafi, NP
• Ahmed Abdul Hafeez Kardar, M.D.
• Kbird Transportation LLC
• Kimberly A Ketter, AGNP-C
• Khalid Khan, M.D.
• Amaresh B Khandat, M.D.
• Shamas Chungez Kiani, M.D.

• Periodontics in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Periodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.