Individual provider Active NPI

Ramz Khleif

  • Periodontics
  • Annapolis, MD
National Provider Identifier
1740333004
Registry record updated Oct 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
12525 Issued in MD
Practice address
2623 Housley Rd
Annapolis, MD 21401-7030
Phone
(410) 841-5131
NPI assigned
Jan 19, 2007
Last updated
Oct 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 12525 MD Primary

Addresses

Primary practice location

2623 Housley Rd
Annapolis, MD 21401-7030

Mailing address

2623 Housley Rd
Annapolis, MD 21401-7030

Other practice location 1

180 Admiral Cochrane Dr
Annapolis, MD 21401-7300
Phone (410) 841-5131

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
12525MDMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental One Associates Columbia PC Past Accepting new patients
Dental One Associates Annapolis PC PastSince Dec 15, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508457600000",
    "number": "1740333004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 HOUSLEY RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 HOUSLEY RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017030",
            "telephone_number": "410-841-5131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Admiral Cochrane Dr",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214017300",
            "country_code": "US",
            "telephone_number": "410-841-5131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHLEIF",
        "first_name": "RAMZ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2017-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "12525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; 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.