Manjinder Kaur Khaira

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.035110 Issued in IL

Practice address

26500 W Huron River Dr
Flat Rock, MI 48134-1135

Phone

(815) 748-2666

NPI assigned

May 29, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Dekamore Dental P.C.

  • General Practice Dentistry
  • Delkalb, IL
  • NPI 1730408741
  NPD (past)
• James Skylar O'Brien, DDS, LLC

  • Dentist
  • Dekalb, IL
  • NPI 1811730195
  NPD (past)

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1821838657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32750 CARDINAL LN",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481842559",
            "telephone_number": "734-306-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26500 W HURON RIVER DR",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481341135",
            "telephone_number": "815-748-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAIRA",
        "first_name": "MANJINDER",
        "middle_name": "KAUR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901602421",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.035110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael A. Kalata, D.O.
• Gavin Kallabat, DMD
• Elizabeth Kasuba
• Layal Katrib, PHARMD
• Wayel T Katrib, M.D
• Mojtaba Khenifar, PHARMD
• Alyssa Jane Kmiotek
• Kroger Co of Michigan
• Jason P Laske, DC
• Maegen L Laub, LMSW

• General Practice Dentistry in Flat Rock, MI
• Providers in Flat Rock, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.