Mohammed Khattari, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DN 21580 Issued in FL

Practice address

1480 W Fairbanks Ave Ste 100
Winter Park, FL 32789-4806

Phone

(407) 220-1400

Fax

(407) 476-5577

NPI assigned

Aug 31, 2015

Last updated

Mar 28, 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Coast Florida P.a.

  dba Coast Dental-Melbourne

  • General Practice Dentistry
  • Melbourne, FL
  • NPI 1396312096
  NPD (past)
• Coast Florida PA

  dba Coast Dental-Melbourne

  • Dentist
  • Melbourne, FL
  • NPI 1275109258
  NPD (past)

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774656000000",
    "number": "1730556358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 W FAIRBANKS AVE STE 100",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894806",
            "telephone_number": "407-220-1400",
            "fax_number": "407-476-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 W FAIRBANKS AVE STE 100",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894806",
            "telephone_number": "407-220-1400",
            "fax_number": "407-476-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATTARI",
        "first_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-31",
        "last_updated": "2026-03-28",
        "certification_date": "2026-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 21580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farzana Rahman Khan, M.D.
• Hassan J Khan, MD
• Rumi Ahmed Khan, M.D.
• Sarah Ahmed Khan
• Kharis Ephrata Psychiatric Services LLC
• David Khosrowzadeh, D.O.
• Kids & US Counseling, LLC (Kids & Us Consulting)
• Kidswoods Pediatrics Corp (Zully E Ambroise)
• Izak Kielmovitch, MD
• Lynne Adel Kikawa, LMHC

• Dentist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.