Active NPI
Abrar Jahin Khan, DMD
- Dentist
- Merced, CA
National Provider Identifier
1811509458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 105259
- Practice address
- 1124 W Olive Ave
Merced, CA 95348-1939 - Phone
- (209) 205-4288
- NPI assigned
- Aug 17, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 105259 | CA | Primary |
Addresses
Primary practice location
1124 W Olive Ave
Merced, CA 95348-1939
Mailing address
400 S Gramercy PL Apt 218
Los Angeles, CA 90020-4957
Phone (213) 820-6341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105259 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1811509458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 S GRAMERCY PL APT 218",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900204957",
"telephone_number": "213-820-6341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 W OLIVE AVE",
"city": "MERCED",
"state": "CA",
"postal_code": "953481939",
"telephone_number": "209-205-4288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "ABRAR",
"middle_name": "JAHIN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-17",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "105259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.