Pradeep K Khanijou, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

033492 Issued in NY

Practice address

120 Grant Ave
Brooklyn, NY 11208-1804

Phone

(718) 827-6565

Fax

(718) 827-5913

NPI assigned

Mar 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Pradeep Khanijou Dental PC

  • Dental Clinic/Center
  • Floral Park, NY
  • NPI 1053156489
  NPD Authorized official

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1841250586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31A VALLEY VIEW RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213917",
            "telephone_number": "516-466-2057",
            "fax_number": "516-466-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 GRANT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112081804",
            "telephone_number": "718-827-6565",
            "fax_number": "718-827-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANIJOU",
        "first_name": "PRADEEP",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "033492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00582370",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samar Khanfour, RN
• Sofia Khani
• William Khani, D.M.D.
• Carolyn Rebecca Khanian, PHD
• Dilyara Khanieva
• Rita Khanijou, MD
• Emmanuel Khanimov
• Izick Khanimov, OPTICIAN
• Vlada Khanimov
• Yuriy Khanimov

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.