Sam F Khoury, D.M.D

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

57670 Issued in CA

Practice address

3000 Alamo Dr Ste 206
Vacaville, CA 95687-6352

Phone

(707) 451-1311

Fax

(707) 451-1325

NPI assigned

Jul 9, 2009

Sex

Male

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1710116819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 WEBSTER ST",
            "address_2": "#D308",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945013871",
            "telephone_number": "510-522-2571",
            "fax_number": "510-522-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ALAMO DR STE 206",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876352",
            "telephone_number": "707-451-1311",
            "fax_number": "707-451-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURY",
        "first_name": "SAM",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-09",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "57670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay A. Keystone, M.D.
• Shanaz Khambatta, D.O.
• Shaheem Khan, LCSW
• Alexa Khersonsky, M.D.
• David Khlok, RCP, RRT
• Christopher J. Kim, MD
• Samuel Kim, M.D.
• Sandra Kindermann, PH.D.
• Meng King, DO
• Noelani M'Lynn Kinion

• Oral and Maxillofacial Surgery (Dentist) in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.