NPIMap

Organization Active NPI

Khan Dental Corp

  • Dentist
  • El Monte, CA
National Provider Identifier
1851342612
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37914 Issued in CA
Legal business name
KHAN DENTAL CORP
Practice address
4900 N Peck Rd
El Monte, CA 91732
Phone
(626) 579-5158
Fax
(626) 579-5311
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Shataj Aslam Khan, DDSNPI 1205949005
Title
President Dentist
Phone
(626) 579-5158

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 37914 CA Primary

Addresses

Primary practice location

4900 N Peck Rd
El Monte, CA 91732

Mailing address

4900 N Peck Rd
El Monte, CA 91732
Phone (626) 579-5158

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851342612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 N PECK RD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "91732",
            "telephone_number": "626-579-5158",
            "fax_number": "626-579-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 N PECK RD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "91732",
            "telephone_number": "626-579-5158",
            "fax_number": "626-579-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHAN DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SHATAJ",
        "authorized_official_middle_name": "ASLAM",
        "authorized_official_title_or_position": "PRESIDENT DENTIST",
        "authorized_official_telephone_number": "626-579-5158",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "37914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.