Individual provider Active NPI

Mona Khalil, DDS

  • Dentist
  • Houston, TX
National Provider Identifier
1881047116
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
32031 Issued in TX
Practice address
2800 Kirby Dr
B502
Houston, TX 77098-1273
Phone
(281) 222-0282
NPI assigned
Jul 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 32031 TX Primary

Addresses

Primary practice location

2800 Kirby Dr
B502
Houston, TX 77098-1273

Mailing address

2800 Kirby Dr
B502
Houston, TX 77098-1273
Phone (281) 222-0282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20170222002103 TX Practitioner - Oral Surgery 5294019097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32031TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
NBNL Dental PLLC CurrentSince Sep 13, 2020 Accepting new patients

Locations

4400 North Fwy
Spc C300
Houston, TX 77022
Phone (713) 691-1300

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.

NPI Registry JSON

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1881047116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 KIRBY DR",
            "address_2": "B502",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981273",
            "telephone_number": "281-222-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 KIRBY DR",
            "address_2": "B502",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981273",
            "telephone_number": "281-222-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "MONA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.