Khalid Omar Rayan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 13564 Issued in FL

Practice address

7208 W Sandlake Rd
Ste104
Orlando, FL 32819-5277

Phone

(407) 363-1904

Fax

(407) 363-9268

NPI assigned

Jul 1, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network
• HealthSun Health Plans Network

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.

• My Forever Smiles LLC

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1144872029
  NPD (past)

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1750543617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7208 W SANDLAKE RD",
            "address_2": "STE104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195277",
            "telephone_number": "407-363-1904",
            "fax_number": "407-363-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7208 W SANDLAKE RD",
            "address_2": "STE104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195277",
            "telephone_number": "407-363-1904",
            "fax_number": "407-363-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYAN",
        "first_name": "KHALID",
        "middle_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 13564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deidere Ray, LCSW
• John G. Ray, CCC-A
• Lamar Ray
• Rachel M Ray, LMT
• Robert Russell Ray II, CRNA
• Ribaba Rayan, MD
• Joel Rayburn, LMT
• Thomas Scott Rayburn, LMT
• Vanessa Leigh Rayen, DO
• Juliana A Raymaker, MD

• General Practice Dentistry in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.