Moiz Khan, DDS, MS

Primary specialty

DentistTaxonomy code 122300000X

License

DS044954 Issued in PA

Practice address

406 W Oak St
Titusville, PA 16354-1499

Phone

(814) 827-9770

Fax

(814) 827-3556

NPI assigned

Apr 3, 2013

Last updated

May 11, 2026By 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

Enrolled in NY, PA2 enrollments

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 2

Specialty

Dentist

Education

State Un of Ny, Buffalo School of Dental Medicine, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Baker Victory Healthcare Center

  • Dentist
  • Lackawanna, NY
  • NPI 1619191855
  Medicare reassignment

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1720321185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W OAK ST",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541499",
            "telephone_number": "814-827-9770",
            "fax_number": "814-827-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W OAK ST",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541499",
            "telephone_number": "814-827-9770",
            "fax_number": "814-827-3556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "665 Elm St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142031104",
            "country_code": "US",
            "telephone_number": "716-845-5970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MOIZ",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-03",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "064671",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS044954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James B Wilkens Jr. M.D. P.C.
• Karen A Judy
• Scott A Kennedy, OD
• Evelyn Kerr, RN
• Andrea M Kessler, PT & OT
• Tosha Kight, RN
• Valerie Jo Kinney, PHARMD
• Rebecca Kirkland, PT
• Stacy Kowalczyk, CRNP
• Stephen Edward Kriner, PT

• Dentist in Titusville, PA
• Providers in Titusville, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.