Fatima Khan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

15607 Issued in MD

Practice address

9220 Springhill LN
Greenbelt, MD 20770-1203

Phone

(240) 624-2278

Fax

(240) 624-2279

NPI assigned

Mar 7, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

State licenses

Practice roles

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.

• Community Clinic, Inc

  • Community/Retail Pharmacy
  • Greenbelt, MD
  • NPI 1295560878
  NPD (past)
• Community Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Takoma Park, MD
  • NPI 1790730281
  NPD (past)

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1780925222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8630 FENTON STREET",
            "address_2": "1204",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20910",
            "telephone_number": "240-839-5811",
            "fax_number": "301-495-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 SPRINGHILL LN",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207701203",
            "telephone_number": "240-624-2278",
            "fax_number": "240-624-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "FATIMA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-07",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "LL665",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "15607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071797500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth R Bond II
• Elizabeth Kerr, RD
• Keshav Primary Care, LLC
• Keystone Healthcare Services LLC
• Adnan R Khan, MD
• Irfan Ahsan Khan, MD
• Mohammad Ali Khan, MD
• Khomfort Khare Inc
• Naima Makena Kiburi, DDS
• Kids Therapy Connection, LLC

• Dentist in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.