Active NPI
Ridila Khan, DDS
- Pediatric Dentistry
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 111144
- Practice address
- 7525 N Cedar Ave Ste 105
Fresno, CA 93720-2698 - Phone
- (559) 439-6600
- NPI assigned
- Mar 22, 2023
- Last updated
- May 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901601601 | MI | |
| Pediatric Dentistry | 1223P0221X | 111144 | CA | Primary |
Addresses
Primary practice location
7525 N Cedar Ave Ste 105
Fresno, CA 93720-2698
Mailing address
21 W Barcelona LN
Clovis, CA 93619-2601
Phone (559) 708-2587
Other practice location 1
806 Tuuri Pl
Flint, MI 48503-2465
Phone (810) 767-5750
Other practice location 2
7766 N Palm Ave Ste 104
Fresno, CA 93711-5704
Phone (559) 492-8098
Other practice location 3
1168 Olivewood Dr
Merced, CA 95348-1210
Phone (209) 934-3200
Other practice location 4
1900 Shaw Ave Ste 101
Clovis, CA 93611-4209
Phone (559) 439-5300
Other names 1
- Ridila Rabbi
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2901601601 | MI | MD | Dentist |
| 111144 | CA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Kidds Pediatric Dentistry, a Dental Practice of Evans, Kunk | Pediatric Dentistry | Past | Accepting new patients |
Interoperability endpoints
- rkhan91554@valleychildrens-prd.direct-ci.com
Organizations & group practices 1
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.
-
- Pediatric Dentistry
- Merced, CA
- NPI 1700460144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746144000000",
"number": "1730882457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 W BARCELONA LN",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936192601",
"telephone_number": "559-708-2587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7525 N CEDAR AVE STE 105",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202698",
"telephone_number": "559-439-6600"
}
],
"practiceLocations": [
{
"address_1": "806 Tuuri Pl",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "485032465",
"country_code": "US",
"telephone_number": "810-767-5750",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7766 N Palm Ave Ste 104",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937115704",
"country_code": "US",
"telephone_number": "559-492-8098",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1168 Olivewood Dr",
"address_purpose": "LOCATION",
"city": "Merced",
"state": "CA",
"postal_code": "953481210",
"country_code": "US",
"telephone_number": "209-934-3200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1900 Shaw Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Clovis",
"state": "CA",
"postal_code": "936114209",
"country_code": "US",
"telephone_number": "559-439-5300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "RIDILA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-22",
"last_updated": "2025-05-02",
"certification_date": "2025-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901601601",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "111144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RIDILA",
"last_name": "RABBI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.