Mayada Khidr

Primary specialty

DentistTaxonomy code 122300000X

License

9523 Issued in NC

Practice address

4201 University Dr Ste 109
Durham, NC 27707-2533

Phone

(919) 294-4234

NPI assigned

May 28, 2013

Sex

Female

Sole proprietor

No

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 NC

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Theodros a. Abraha DDS PC

  • Dentist
  • Durham, NC
  • NPI 1053773614
  NPD (past)

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1740627090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 UNIVERSITY DR STE 109",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 UNIVERSITY DR STE 109",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072533",
            "telephone_number": "919-294-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHIDR",
        "first_name": "MAYADA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "9523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Archana Khandelwal
• Arash Khani, DDS
• Julia Faye Khatibzadeh, DDS
• Aaditya Khatri, MD
• Wajiha Jurdi Kheir, MD
• Wei Boon Khor, M.D.
• Shiv Simrun Khosla
• Ramak Khosravi
• Michel Georges Khouri, M.D.
• KHR Beauty& Hairloss Center LLC

• Dentist in Durham, NC
• Providers in Durham, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.