Haider Michael Kalhan, B.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

DE60465251 Issued in WA

Practice address

518 W 1St Ave
Toppenish, WA 98948-1564

Phone

(509) 865-3886

Fax

(509) 865-6391

NPI assigned

Feb 7, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Haider Al Mohamadway Other name

Medicare fee-for-service enrollment

Enrolled in WA

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.

• Platinum Dental Northwest LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lynnwood, WA
  • NPI 1134847502
  NPD

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699660800000",
    "number": "1790109098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 BYRON AVE STE 100",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982292877",
            "telephone_number": "360-282-0804",
            "fax_number": "360-550-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 W 1ST AVE",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989481564",
            "telephone_number": "509-865-3886",
            "fax_number": "509-865-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALHAN",
        "first_name": "HAIDER",
        "middle_name": "MICHAEL",
        "credential": "B.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-07",
        "last_updated": "2023-11-11",
        "certification_date": "2023-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "WA",
            "license": "RR60356146",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60465251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790109098",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAIDER",
            "last_name": "AL MOHAMADWAY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lois Kimberly John
• Robin R John, RPH
• Eric C Johnson
• Lindin Johnson
• Mary Louise Jovich, OT
• Chigozie Emmanuel Kalu
• David Kang
• Saravana Kumar Karunagaran, BDS, MS
• Laney Kent, LMT
• Minh-Hue Thi Khuu, PHARM D.

• Dentist in Toppenish, WA
• Providers in Toppenish, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2023; 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.