Individual provider Active NPI

Khalil D Abukhalil, DDS

  • General Practice Dentistry
  • Westlake, OH
National Provider Identifier
1750005443
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.027743 Issued in OH
Practice address
28899 Center Ridge Rd Ste 300
Westlake, OH 44145-8200
Phone
(440) 835-3109
NPI assigned
Sep 27, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.027743 OH Primary

Addresses

Primary practice location

28899 Center Ridge Rd Ste 300
Westlake, OH 44145-8200

Mailing address

28899 Center Ridge Rd Ste 300
Westlake, OH 44145-8200
Phone (440) 835-3109

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
30.027743OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Aico H. Watanabe, D.D.S. CurrentSince Nov 18, 2025 Accepting new patients
Ak Dental Care LLC General Practice CurrentSince Nov 18, 2025 Accepting new patients

Locations

28899 Center Ridge Rd
Ste 300
Westlake, OH 44145
Phone (440) 835-3109

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1750005443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28899 CENTER RIDGE RD STE 300",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441458200",
            "telephone_number": "440-835-3109",
            "fax_number": "440-835-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28899 CENTER RIDGE RD STE 300",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441458200",
            "telephone_number": "440-835-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUKHALIL",
        "first_name": "KHALIL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-27",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.027743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.

Verify at the official NPI Registry.