Organization Active NPI

Khalil & Kinaia D.D.S.,P.C.

  • General Practice Dentistry
  • Flint, MI
National Provider Identifier
1912157199
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17782 Issued in MI
Legal business name
KHALIL & KINAIA D.D.S.,P.C.
Practice address
G3500 Flushing Rd
Ste 107E
Flint, MI 48504-4235
Phone
(810) 720-0611
Fax
(810) 720-0613
NPI assigned
Sep 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Mohammad M KhalilNPI 1184710212
Title
President
Phone
(810) 720-0611

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 17782 MI Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 17676 MI

Addresses

Primary practice location

G3500 Flushing Rd
Ste 107E
Flint, MI 48504-4235

Mailing address

G3500 Flushing Rd
Ste 107E
Flint, MI 48504-4235
Phone (810) 720-0611

National Provider Directory

National Provider Directory

Locations

G3500 Flushing Rd
Ste 107E
Flint, MI 48504
Phone (810) 720-0611

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": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1912157199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G3500 FLUSHING RD",
            "address_2": "STE 107E",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044235",
            "telephone_number": "810-720-0611",
            "fax_number": "810-720-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3500 FLUSHING RD",
            "address_2": "STE 107E",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044235",
            "telephone_number": "810-720-0611",
            "fax_number": "810-720-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHALIL & KINAIA D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-720-0611"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "17782",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "17676",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.