Farah S Khan, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013042 Issued in GA

Practice address

350 Town Center Ave
301
Suwanee, GA 30024

Phone

(678) 835-0793

Fax

(678) 546-7932

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Imagix 3 Dental

  • Dentist
  • Suwanee, GA
  • NPI 1770689119
  NPD (past)
• Imagix Dental of Suwanee LLC

  • Dentist
  • Suwanee, GA
  • NPI 1417325952
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871647040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5043 BRENDLYNN DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247657",
            "telephone_number": "678-939-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 TOWN CENTER AVE",
            "address_2": "301",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "30024",
            "telephone_number": "678-835-0793",
            "fax_number": "678-546-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "FARAH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren K Kelly, MA, LMFT
• Laprinces Elaine Kennard, BCBA, LBA
• Kurtis Kepfer, PT
• Judy Ann Kerley, PH.D.
• Anjana Khadka
• Panyavee Khan, MD
• Lilly Khokhlan
• Kim Khong
• Kids Creek Therapy
• Kids Time Pediatrics Hamilton Mill LLC

• General Practice Dentistry in Suwanee, GA
• Providers in Suwanee, GA by specialty
• General Practice Dentistry in Georgia

• 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.

Verify at the official NPI Registry.