Active NPI
Moona Nausheen Khan, DDS
- General Practice Dentistry
- Tacoma, WA
National Provider Identifier
1700060548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE00011022
- Practice address
- 3402 S 18TH St
Tacoma, WA 98405-1903 - Phone
- (715) 781-3345
- NPI assigned
- Dec 27, 2007
- Last updated
- Jun 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 050859-1 | NY | |
| General Practice Dentistry | 1223G0001X | DE00011022 | WA | Primary |
Addresses
Primary practice location
3402 S 18TH St
Tacoma, WA 98405-1903
Mailing address
8322 84TH Ave SE
Mercer Island, WA 98040-5648
Phone (715) 781-3345
Other practice location 1
2115 S 56th St Ste 202
Tacoma, WA 98409-6900
Phone (253) 473-4303
Other names 1
- Moona Nausheen Hussain
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 |
|---|---|---|---|
| 050859-1 | NY | MD | General Practice Dentistry |
| DE00011022 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moona Khan DDS PS | Past | Accepting new patients | |
| Kuzi S Hsue | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1700060548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8322 84TH AVE SE",
"city": "MERCER ISLAND",
"state": "WA",
"postal_code": "980405648",
"telephone_number": "715-781-3345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3402 S 18TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051903",
"telephone_number": "715-781-3345"
}
],
"practiceLocations": [
{
"address_1": "2115 S 56th St Ste 202",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984096900",
"country_code": "US",
"telephone_number": "253-473-4303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "MOONA",
"middle_name": "NAUSHEEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-27",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "050859-1",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE00011022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MOONA",
"last_name": "HUSSAIN",
"middle_name": "NAUSHEEN",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.