Ayesha Khan, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019033628 Issued in IL

Practice address

8114 W 111TH St
Palos Hills, IL 60465-2206

Phone

(708) 974-9550

NPI assigned

Jun 3, 2022

Last updated

Oct 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Khan & Zayyad Dental PLLC

  dba Palos Smiles

  • General Practice Dentistry
  • Palos Hills, IL
  • NPI 1407681810
  NPD Authorized official
• Elaine G. Stolis,D.D.S. & Associates

  • General Practice Dentistry
  • Palos Hills, IL
  • NPI 1164687588
  NPD (past)

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1821737180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8114 W 111TH ST",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652206",
            "telephone_number": "708-974-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8114 W 111TH ST",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652206",
            "telephone_number": "708-974-9550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17W535 Butterfield Rd",
            "address_purpose": "LOCATION",
            "city": "Oakbrook Terrace",
            "state": "IL",
            "postal_code": "601814010",
            "country_code": "US",
            "telephone_number": "630-592-4949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AYESHA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019033628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya Karam, NP
• Chandrarekha Kaza, M.D.
• Kendall Family Dental (Worth Palos Dentistry)
• Mohamad Y Khalifeh
• Khan & Zayyad Dental PLLC (Palos Smiles)
• Claudia Alejandra Khazzoun
• Yasmeen Delia Kherwish
• Kidney Care Center South
• Jeffery L Kirscher, DDS
• Lauren Ann Klancic, MA, QMHP

• General Practice Dentistry in Palos Hills, IL
• Providers in Palos Hills, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.