Asma Khan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN123520 Issued in GA

Practice address

155 Traders Way Ste 400
Pooler, GA 31322-4300

Phone

(912) 913-0467

NPI assigned

Apr 16, 2010

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

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1699091579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 WOOD HAVEN LN",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313229776",
            "telephone_number": "646-234-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 TRADERS WAY STE 400",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224300",
            "telephone_number": "912-913-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ASMA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-16",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN123520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rahim Kassam-Adams
• Andrea Lynette Keen-Avery, LCSW
• Kate Elizabeth Kellum, M.S.
• Kenneth C. Fries, O.D., P.C.
• Yolanda Kent
• Nimra Khan, DMD
• Neha Prabhakar Kharod, MD
• Amelia Kicklighter
• Kidney Innovations
• Kids First Pediatrics of Georgia, P.C.

• Dentist in Pooler, GA
• Providers in Pooler, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.