Hidayathulla Khan, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019030623 Issued in IL

Practice address

121 E Roosevelt Rd
Lombard, IL 60148-4561

Phone

(224) 766-9876

NPI assigned

Jul 20, 2016

Last updated

Jul 20, 2016By 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 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• My Smile Inc

  dba Smiles of Des Plaines

  • Dentist
  • Des Plaines, IL
  • NPI 1023549078
  NPD Authorized official
• Flos Dental Center Inc.

  • Dental Clinic/Center
  • Chicago, IL
  • NPI 1962045088
  NPD (past) Authorized official
• My Smiles Dental Center Crescent Inc.

  • Dental Clinic/Center
  • Wheeling, IL
  • NPI 1013647445
  NPD (past) Authorized official
• Premier Dental Care Illinois Inc

  • Dental Clinic/Center
  • Evanston, IL
  • NPI 1255985669
  NPD (past) Authorized official
• Wisconsin Smiles

  dba American Dental Group

  • Dental Clinic/Center
  • Milwaukee, WI
  • NPI 1467059865
  Authorized official Same address or phone

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1699128082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4948 LOUISE ST APT 1W",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772937",
            "telephone_number": "224-766-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E ROOSEVELT RD",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484561",
            "telephone_number": "224-766-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "HIDAYATHULLA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019030623",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001343-15",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Scott Kester, M.D.
• Tahseen Anjum Khaleel, MD
• Khalil Foundation
• Deeba Khan
• Fahad Habib Khan, PSYD
• Jamsheed H Khan, M.D.
• Lindsey K Khan, LCSW
• Tamer Khatib
• Harram A Khawaja
• Abid Khurshid, M.D.

• Dentist in Lombard, IL
• Providers in Lombard, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.