Individual provider Active NPI

Khadijah Cheema, DDS

  • General Practice Dentistry
  • Cypress, TX
National Provider Identifier
1700559663
Registry record updated Dec 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37514 Issued in TX
Practice address
28610 Highway 290 Ste F01
Cypress, TX 77433-5463
Phone
(281) 204-2158
NPI assigned
Jul 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 37514 TX Primary

Addresses

Primary practice location

28610 Highway 290 Ste F01
Cypress, TX 77433-5463

Mailing address

28610 Highway 290 Ste F01
Cypress, TX 77433-5463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220506000663 TX Order and Referring Only - DentistPractitioner - Dentist 6305223629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37514TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia B Reyes DMD PLLC General Practice PastSince Oct 16, 2022 Accepting new patients
North Cypress Smiles Dentistry,PC PastSince Dec 10, 2023 Accepting new patients
Kingwood Smiles Dentistry,PC PastSince Sep 1, 2023 Accepting new patients

Organizations & group practices 3

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": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701561600000",
    "number": "1700559663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28610 HIGHWAY 290 STE F01",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28610 HIGHWAY 290 STE F01",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335463",
            "telephone_number": "281-204-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEEMA",
        "first_name": "KHADIJAH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2023-12-03",
        "certification_date": "2023-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.