Emad Gus Khalifa, D.D.S., M.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

6338 Issued in AZ

Practice address

20950 N Tatum Blvd Ste 210
Phoenix, AZ 85050-4268

Phone

(480) 538-8100

Fax

(480) 535-8101

NPI assigned

Sep 27, 2007

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Science

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.

• Ridge Dental Specialists LLC

  • Endodontics
  • Phoenix, AZ
  • NPI 1689895765
  NPD (past)

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1891982443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20950 N TATUM BLVD STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504268",
            "telephone_number": "480-538-8100",
            "fax_number": "480-535-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20950 N TATUM BLVD STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504268",
            "telephone_number": "480-538-8100",
            "fax_number": "480-535-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIFA",
        "first_name": "EMAD",
        "middle_name": "GUS",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "6338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harris Khan Khakwani, MD
• Dalia Khaled
• Hala Khaled
• Motassam Khaled
• Robert Brandon Khaler, PHARMD
• Tasnim Khalife, M.D.
• Josef Khalil, M.D.
• Nabiha Khalil, MD
• Sayeed Khalillullah, M.D
• Adi Shakti Kaur Khalsa, LPC

• Endodontics in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Endodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.