Individual provider Active NPI

Muhammad Faheem Khiyani

  • General Practice Dentistry
  • Conway, NH
National Provider Identifier
1821776535
Registry record updated Oct 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
05124 Issued in NH
Practice address
1549 White Mountain Highway
Conway, NH 03860
Phone
(603) 227-4507
NPI assigned
Jul 11, 2023
Reactivated
Jun 17, 2024
Last updated
Oct 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 05124 NH Primary

Addresses

Primary practice location

1549 White Mountain Highway
Conway, NH 03860

Mailing address

4098 Big Creek Overlook
Alpharetta, GA 30005-4212
Phone (640) 204-5153

Other practice location 1

160 Washington St Unit 603
Rochester, NH 03839-5512
Phone (603) 330-0006

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

LicenseStateTypeSpecialty
05124NHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Partners Dental Care - North Conway, PLLC General Practice CurrentSince Sep 21, 2025 Accepting new patients

Locations

1549 White Mountain Hwy
North Conway, NH 03860
Phone (603) 227-4507

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729382400000",
    "number": "1821776535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4098 BIG CREEK OVERLOOK",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054212",
            "telephone_number": "640-204-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1549 WHITE MOUNTAIN HIGHWAY",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "03860",
            "telephone_number": "603-227-4507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Washington St Unit 603",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NH",
            "postal_code": "038395512",
            "country_code": "US",
            "telephone_number": "603-330-0006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHIYANI",
        "first_name": "MUHAMMAD FAHEEM",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-11",
        "last_updated": "2024-10-20",
        "certification_date": "2024-10-20",
        "deactivation_date": "2024-02-16",
        "reactivation_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "05124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.