Active NPI
Kaushik P Khakhar, DDS
- Dentist
- Sunnyside, NY
National Provider Identifier
1871500439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 033307
- Practice address
- 4321 Greenpoint Ave
Sunnyside, NY 11104-3605 - Phone
- (718) 786-4175
- Fax
- (718) 786-7577
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 033307 | NY | Primary |
Addresses
Primary practice location
4321 Greenpoint Ave
Sunnyside, NY 11104-3605
Mailing address
203 Harbor View Drive
Port Washington, NY 11050
Phone (516) 767-3189
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00333106 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033307 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KMK Dental PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Sunnyside, NY
- NPI 1093911554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871500439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 HARBOR VIEW DRIVE",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "11050",
"telephone_number": "516-767-3189",
"fax_number": "718-786-7577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4321 GREENPOINT AVE",
"city": "SUNNYSIDE",
"state": "NY",
"postal_code": "111043605",
"telephone_number": "718-786-4175",
"fax_number": "718-786-7577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAKHAR",
"first_name": "KAUSHIK",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "033307",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00333106",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sunnyside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.