Active NPI
Namita Khandelwal, BDS, MS
- Periodontics
- Farmington, CT
National Provider Identifier
1760880355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 14633
- Practice address
- 263 Farmington Ave
Farmington, CT 06030-2656 - Phone
- (860) 679-3710
- NPI assigned
- Dec 12, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 14633 | CT | Primary |
Addresses
Primary practice location
263 Farmington Ave
Farmington, CT 06030-2656
Mailing address
263 Farmington Ave
Farmington, CT 06030-1710
Phone (860) 679-3170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366656100 | Other | ME | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181002002885 | CT | Order and Referring Only - Dentist | 8325390347 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14633 | CT | MD | Periodontist |
| 12366 | CT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1760880355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060301710",
"telephone_number": "860-679-3170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060302656",
"telephone_number": "860-679-3710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHANDELWAL",
"first_name": "NAMITA",
"credential": "BDS, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-12",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CT",
"license": "14633",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1366656100",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.