Individual provider Active NPI

Afaf A Khayat, DDS, MSD, CAGS

  • Prosthodontics
  • Cambridge, MA
National Provider Identifier
1720715394
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DL15217 Issued in MA
Practice address
245 First St Ste 17
Cambridge, MA 02142-1292
Phone
(617) 892-8245
NPI assigned
Aug 4, 2022
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DL15217 MA Primary

Addresses

Primary practice location

245 First St Ste 17
Cambridge, MA 02142-1292

Mailing address

245 First St Ste 17
Cambridge, MA 02142-1292
Phone (617) 892-8245

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

LicenseStateTypeSpecialty
DL15217MAMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1720715394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 FIRST ST STE 17",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021421292",
            "telephone_number": "617-892-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 FIRST ST STE 17",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021421292",
            "telephone_number": "617-892-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAYAT",
        "first_name": "AFAF",
        "middle_name": "A",
        "credential": "DDS, MSD, CAGS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "DL15217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.