Aatiqah Aakifah Khalid, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6992 Issued in LA

Practice address

10964 River Rd
Saint Rose, LA 70087-3400

Phone

(504) 469-9778

NPI assigned

Apr 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1770080970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CHATEAU MOUTON DR",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700651902",
            "telephone_number": "919-475-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10964 RIVER RD",
            "city": "SAINT ROSE",
            "state": "LA",
            "postal_code": "700873400",
            "telephone_number": "504-469-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALID",
        "first_name": "AATIQAH",
        "middle_name": "AAKIFAH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayna L Jimison, MSW, LCSW, QSSW
• Jamie Johnson, LCSW
• Sharmeria Jones
• Kenya Irvin Joseph
• Troy Joseph
• Ryan James Landry, LAT
• Landry'S Quality Transportation
• Gabrielle Anne Lauve, M.S. CF-SLP
• Christina Boudreaux Lott, MCD, L-SLP, CCC-SLP
• Richard Irvin Miller, LA 14443

• General Practice Dentistry in Saint Rose, LA
• Providers in Saint Rose, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.