Individual provider Active NPI

Anila Khalid, D.M.D.

  • Dentist
  • Fall River, MA
National Provider Identifier
1831256700
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20921 Issued in MA
Practice address
387 Quarry St
Suite 100
Fall River, MA 02723-1025
Phone
(508) 679-8111
Fax
(508) 837-6077
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 20921 MA Primary

Addresses

Primary practice location

387 Quarry St
Suite 100
Fall River, MA 02723-1025

Mailing address

387 Quarry St
Suite 100
Fall River, MA 02723-1025
Phone (508) 679-8111

Other identifiers 1

IdentifierTypeStateIssuer
20921OtherMACIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20160122001746 MA Order and Referring Only - DentistPractitioner - Dentist 1658674726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20921MAMDDentist

Interoperability endpoints

  • Direct secure messaging: akhalid19780@direct.ctc.masshiway.net

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1831256700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 QUARRY ST",
            "address_2": "SUITE 100",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027231025",
            "telephone_number": "508-679-8111",
            "fax_number": "508-837-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 QUARRY ST",
            "address_2": "SUITE 100",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027231025",
            "telephone_number": "508-679-8111",
            "fax_number": "508-837-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALID",
        "first_name": "ANILA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "20921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "20921",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.