Carl M. Khalid

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019018963 Issued in IL

Legal business name

CARL M. KHALID

Practice address

2915 W Cermak Rd
Chicago, IL 60623-3402

Phone

(773) 762-1166

NPI assigned

Apr 17, 2015

Last updated

Apr 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carl M Khalid, DDS

Title

General Dentist

Phone

(773) 465-8901

Specialties & licenses 1

Addresses

Tax ID family

Carl M Khalid2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Carl M. Khalid

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1831585777
  NPD tax ID

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1841687753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2054 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592128",
            "telephone_number": "773-465-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233402",
            "telephone_number": "773-762-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL M. KHALID",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "KHALID",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "773-465-8901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019018963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caritas Physicians Group
• Rene Pineda Carizey, D.O.
• Carl B Toren MD (Chicago Family Health Center)
• Carl B Toren MD (Chicago Family Health Center)
• Carl M. Khalid
• Carl M. Wahlstrom, Jr., M.D., Limited
• Amy M Carl, LCSW
• Nicole Marie Carl, LPC
• Rebecca Lynn Carl, M.D.
• Terrie Carl, FNP-BC

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, 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 Apr 17, 2015; 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.