Organization Active NPI

Dr Amanjot Khara, DDS, PC

  • Dentist
  • Mechanicsville, VA
National Provider Identifier
1770900243
Registry record updated Mar 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401008652 Issued in VA
Legal business name
DR AMANJOT KHARA, DDS, PC
Practice address
6372 Mechanicsville Tpke
#106
Mechanicsville, VA 23111-4705
Phone
(804) 559-5808
Fax
(804) 559-9671
NPI assigned
Mar 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2014

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

Authorized official

Name
Dr. Amanjot Khara, DDSNPI 1063524684
Title
President
Phone
(804) 559-5808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0401008652 VA Primary

Addresses

Primary practice location

6372 Mechanicsville Tpke
#106
Mechanicsville, VA 23111-4705

Mailing address

6372 Mechanicsville Tpke
#106
Mechanicsville, VA 23111-4705
Phone (804) 559-5808

Other identifiers 1

IdentifierTypeStateIssuer
1063524684MedicaidVA

National Provider Directory

National Provider Directory

Locations

6372 Mechanicsville Tpke
Ste 106
Mechanicsville, VA 23111
Phone (804) 559-5808

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395532800000",
    "number": "1770900243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6372 MECHANICSVILLE TPKE",
            "address_2": "#106",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231114705",
            "telephone_number": "804-559-5808",
            "fax_number": "804-559-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6372 MECHANICSVILLE TPKE",
            "address_2": "#106",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231114705",
            "telephone_number": "804-559-5808",
            "fax_number": "804-559-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR AMANJOT KHARA, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-23",
        "last_updated": "2014-03-23",
        "status": "A",
        "authorized_official_last_name": "KHARA",
        "authorized_official_first_name": "AMANJOT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-559-5808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401008652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063524684",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2014; 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.