Khanhlam K Phan DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60197084 Issued in WA

Legal business name

KHANHLAM K PHAN DDS PLLC

Doing business as

Rose Hill Dentistry

Practice address

8532 122ND Ave NE
Kirkland, WA 98033-5831

Phone

(425) 822-4100

Fax

(425) 822-4300

NPI assigned

Sep 26, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Khanhlam K Phan, DDS

Title

Owner

Phone

(425) 822-4300

Specialties & licenses 1

Addresses

Other names 1

• Rose Hill Dentistry Doing business as

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1710238050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8532 122ND AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335831",
            "telephone_number": "425-822-4100",
            "fax_number": "425-822-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8532 122ND AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335831",
            "telephone_number": "425-822-4100",
            "fax_number": "425-822-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHANHLAM K PHAN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "KHANHLAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-822-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60197084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose Hill Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shaunie L Keys, M.D.
• Keystone Natural Medicine, LLC
• Nahid Khaghani
• Sahar Khalaj, DO
• Jad Khalil
• Rashi Khanna, M.D
• David Behnam Khatami, M.D., PH.D.
• Bilal Khilfeh
• Artem Khodzhiev
• Shiva Khosravi Moghadam, RPH

• General Practice Dentistry in Kirkland, WA
• Providers in Kirkland, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.